Phillip Jorge Md Inc

NPI 1073574000 - Anesthesiology - 207LP2900X

NPI Details
NPI 1073574000
Enumeration Date 03/29/2006
Last Updated 09/22/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PHILLIP PHILLIP
Position DIRECT OWNER
Phone (310) 836-7000
Fax (818) 715-1722
Practice Location
3828 DELMAS TER
CULVER CITY CA, 90232-2713, US
Phone (310) 836-7000
Fax (818) 715-1722
Business Location
PO BOX 7001
TARZANA CA, 91357-7001, US
Phone (818) 888-7815
Fax (818) 715-1722
Toxanomy
Taxonomy Code 207LP2900X
License State California
License Number G78921
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According to our database, Phillip Jorge Md Inc NPI is 1073574000, taxonomy code is 207LP2900X and license number is G78921, license state is located at California. Phillip Jorge Md Inc physically located at 3828 Delmas Ter, Culver City CA, 90232-2713. NPI Number 1033115704 has the healthcare provider type.

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1073574000 NPI number is provided on an as is basis without warranty of any kind. 1073574000 is maintained by the National Plan & Provider Enumeration System. The contents of Phillip Jorge Md Inc are for informational purposes only.