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1336700012
PROVIDER SERVICE NETWORK, INC
LOS ANGELES, CA
NPI
1336700012
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Entity Type
Organization
Authorized Contact
HECTOR RAPHAEL CASTILLO
CEO
323-264-5000
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2019-06-24
Last Update Date
2019-06-25
Business Address
PROVIDER SERVICE NETWORK, INC
212 BAILEY ST APT 204
LOS ANGELES, CA 90033-2460
Phone number: 323-264-5000
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Mailing Address
PROVIDER SERVICE NETWORK, INC
212 BAILEY ST APT 204
LOS ANGELES, CA 90033-2460
Phone number: 323-264-5000
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