Los Angeles County - Reseda Mtu

NPI 1073668521 - Clinic/Center - 261QR0400X

NPI Details
NPI 1073668521
Enumeration Date 01/24/2007
Last Updated 01/25/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WESLEY WESLEY
Position DIRECTOR, CMS
Phone (818) 885-6244
Fax
Practice Location
19451 WYANDOTTE ST
RESEDA CA, 91335-3518, US
Phone (818) 885-6244
Fax
Business Location
9320 TELSTAR AVE STE 226
EL MONTE CA, 91731-2849, US
Phone
Fax
Toxanomy
Taxonomy Code 261QR0400X
License State
License Number
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According to our database, Los Angeles County - Reseda Mtu NPI is 1073668521, taxonomy code is 261QR0400X Los Angeles County - Reseda Mtu physically located at 19451 Wyandotte St, Reseda CA, 91335-3518. NPI Number 1033115704 has the healthcare provider type.

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1073668521 NPI number is provided on an as is basis without warranty of any kind. 1073668521 is maintained by the National Plan & Provider Enumeration System. The contents of Los Angeles County - Reseda Mtu are for informational purposes only.