LL PROVIDER INC

GARDEN GROVE, CA
NPI1871206300
Entity TypeOrganization
Authorized ContactLORNA LOGAN
Founder
949-861-0127
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center Primary Care
Enumeration Date2022-12-29
Last Update Date2022-12-29
Business Address
LL PROVIDER INC
12668 CHAPMAN AVE UNIT 2107
GARDEN GROVE, CA 92840-4037
Phone number: 949-861-0127
Mailing Address
LL PROVIDER INC
12668 CHAPMAN AVE UNIT 2107
GARDEN GROVE, CA 92840-4037
Phone number: 949-861-0127
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