Life Fitness Center A Medical Group Inc

NPI 1093815052 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1093815052
Enumeration Date 09/22/2006
Last Updated 06/30/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DANIEL M DANIEL
Position CEO
Phone (626) 578-7111
Fax (626) 578-7161
Practice Location
200 E DEL MAR BLVD
SUITE 208
PASADENA CA, 91105-2544, US
Phone (626) 578-7111
Fax (626) 578-7161
Business Location
200 E DEL MAR BLVD
SUITE 208
PASADENA CA, 91105-2544, US
Phone (626) 578-7111
Fax (626) 578-7161
Toxanomy
Taxonomy Code 2084P0800X
License State
License Number
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According to our database, Life Fitness Center A Medical Group Inc NPI is 1093815052, taxonomy code is 2084P0800X Life Fitness Center A Medical Group Inc physically located at 200 E Del Mar Blvd, Pasadena CA, 91105-2544. NPI Number 1033115704 has the healthcare provider type.

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1093815052 NPI number is provided on an as is basis without warranty of any kind. 1093815052 is maintained by the National Plan & Provider Enumeration System. The contents of Life Fitness Center A Medical Group Inc are for informational purposes only.