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1295092021
SOUTH LAKE MEDICAL CENTER INC
PASADENA, CA
NPI
1295092021
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Entity Type
Organization
Authorized Contact
HAROLD V. MITZELFELT
Medical Director
626-449-8314
Organization Subpart ?
Yes
Primary Taxonomy
332900000X Non-Pharmacy Dispensing Site
Enumeration Date
2012-04-18
Last Update Date
2012-04-18
Business Address
SOUTH LAKE MEDICAL CENTER INC
350 S LAKE AVE STE 280
PASADENA, CA 91101-3530
Phone number: 626-449-8314
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Mailing Address
SOUTH LAKE MEDICAL CENTER INC
2980 N BEVERLY GLEN CIR SUITE 301
LOS ANGELES, CA 90077-1726
Phone number: 310-474-9809
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