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1942751706
NONE
LOS ANGELES, CA
NPI
1942751706
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Entity Type
Organization
Authorized Contact
ANDREW JONES
CEO
323-867-7907
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A127002)
Enumeration Date
2016-10-17
Last Update Date
2017-12-11
Business Address
NONE
1225 WILSHIRE BLVD
LOS ANGELES, CA 90017-1901
Phone number: 213-977-2121
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Mailing Address
NONE
PO BOX 86852
LOS ANGELES, CA 90086-0852
Phone number: 323-867-7907
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