Hollywood

NPI 1487728184 - Clinic/Center - 261QA0600X

NPI Details
NPI 1487728184
Enumeration Date 11/17/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ANNA ANNA
Position ADMINISTRATOR
Phone (323) 464-2066
Fax (323) 464-0629
Practice Location
5300 SANTA MONICA BLVD
SUITE 100
LOS ANGELES CA, 90029, US
Phone (323) 464-2066
Fax (323) 464-0629
Business Location
7336 SANTA MONICA BLVD
SUITE 604
LOS ANGELES CA, 90046-6616, US
Phone (323) 960-1701
Fax (323) 464-3367
Toxanomy
Taxonomy Code 261QA0600X
License State
License Number
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According to our database, Hollywood NPI is 1487728184, taxonomy code is 261QA0600X Hollywood physically located at 5300 Santa Monica Blvd, Los Angeles CA, 90029. NPI Number 1033115704 has the healthcare provider type.

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1487728184 NPI number is provided on an as is basis without warranty of any kind. 1487728184 is maintained by the National Plan & Provider Enumeration System. The contents of Hollywood are for informational purposes only.