COUNTY OF LOS ANGELES AUDITOR CONTROLLER

NPI # 

Practice Address:

12021 Wilmington Ave

Los Angeles, CA, 90059-3019

Practice Phone:

310-668-4501

Practice Fax:

310-763-8909

License State:

CA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Ambulatory Surgical

Taxonomy Code:

261QA1903X

Updated by NPPES on 11/28/2007. You can view the original data set for NPI # 1649452988 on the official NPPES website. If the information about this NPI provider/company is outdated and you would like to help us update the information, you can Contact Us. This will only update NPI information on NPIScope.com. See our FAQ page for further information on updating NPI information.

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