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1215956594
MINA W MA
LOS ANGELES, CA
NPI
1215956594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA G75191)
Enumeration Date
2006-07-18
Last Update Date
2010-07-13
Business Address
-- MINA W MA md
100 MEDICAL PLAZA #290,450,455,
LOS ANGELES, CA 90095
Phone number: 310-315-8920
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Mailing Address
-- MINA W MA md
5767 W CENTURY BLVD SUITE 200
LOS ANGELES, CA 90045-5632
Phone number: 310-315-8920
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