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1821204058
THC - ORANGE COUNTY, LLC
LOS ANGELES, CA
NPI
1821204058
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Entity Type
Organization
Authorized Contact
MOSTAFA ADAM DARVISH
Executive Director
714-893-4541
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2007-05-15
Last Update Date
2018-07-19
Business Address
THC - ORANGE COUNTY, LLC
5525 W SLAUSON AVE
LOS ANGELES, CA 90056
Phone number: 310-642-0325
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Mailing Address
THC - ORANGE COUNTY, LLC
5525 W SLAUSON AVE
LOS ANGELES, CA 90056-1047
Phone number: 310-642-0325
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