| NPI Details | |
|---|---|
| NPI | 1407063886 |
| Enumeration Date | 05/16/2007 |
| Last Updated | 07/03/2008 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | EUGENE EUGENE |
| Position | LICENSEE |
| Phone | (310) 767-1390 |
| Fax | (310) 767-1007 |
| Practice Location | |
|---|---|
| 14509 S NORMANDIE AVE GARDENA CA, 90247-2405, US |
|
| Phone | (310) 767-1390 |
| Fax | (310) 767-1007 |
| Business Location | |
|---|---|
| 14901 CONDON AVE LAWNDALE CA, 90260-1216, US |
|
| Phone | (310) 739-3585 |
| Fax | (310) 767-1007 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 315P00000X |
| License State | California |
| License Number | 960000798 |
| Remove 1407063886 NPI Number | |
According to our database, Normandie Place NPI is 1407063886, taxonomy code is 315P00000X and license number is 960000798, license state is located at California. Normandie Place physically located at 14509 S Normandie Ave, Gardena CA, 90247-2405. NPI Number 1033115704 has the healthcare provider type.
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1407063886 NPI number is provided on an as is basis without warranty of any kind. 1407063886 is maintained by the National Plan & Provider Enumeration System. The contents of Normandie Place are for informational purposes only.
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