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1669480927
IRA R. MINTZ
LOS ANGELES, CA
NPI
1669480927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: CA G29085)
Enumeration Date
2006-08-03
Last Update Date
2014-01-31
Business Address
-- IRA R. MINTZ MO
1516 COTNER AVE
LOS ANGELES, CA 90025-3303
Phone number: 310-445-2800
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Mailing Address
-- IRA R. MINTZ MO
PO BOX 240086
LOS ANGELES, CA 90024-9186
Phone number: 310-445-2800
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