CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION

LOS ANGELES, CA
NPI1871884205
Entity TypeOrganization
Authorized ContactHERBERT MARSHAK
Medical Director
213-484-6681
Organization Subpart ?Yes
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
Enumeration Date2011-04-19
Last Update Date2015-10-05
Business Address
CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION
1711 W TEMPLE ST STE 4100
LOS ANGELES, CA 90026-5421
Phone number: 213-484-6681
Mailing Address
CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION
2980 N BEVERLY GLEN CIR SUITE 100
LOS ANGELES, CA 90077-1726
Phone number: 310-474-9809