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1871884205
CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION
LOS ANGELES, CA
NPI
1871884205
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Entity Type
Organization
Authorized Contact
HERBERT MARSHAK
Medical Director
213-484-6681
Organization Subpart ?
Yes
Primary Taxonomy
332900000X Non-Pharmacy Dispensing Site
Enumeration Date
2011-04-19
Last Update Date
2015-10-05
Business Address
CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION
1711 W TEMPLE ST STE 4100
LOS ANGELES, CA 90026-5421
Phone number: 213-484-6681
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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
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