Ultimed Medical Clinic, Inc.

NPI 1649228982 - Internal Medicine - 207R00000X

NPI Details
NPI 1649228982
Enumeration Date 05/05/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MANOLITO SOSA MANOLITO
Position PRESIDENT
Phone (323) 993-0700
Fax (323) 993-0734
Practice Location
5300 SANTA MONICA BLVD
SUITE 304
LOS ANGELES CA, 90029-1131, US
Phone (323) 993-0700
Fax (323) 993-0734
Business Location
5300 SANTA MONICA BLVD
SUITE 304
LOS ANGELES CA, 90029-1131, US
Phone (323) 993-0700
Fax (323) 993-0734
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number A53451
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According to our database, Ultimed Medical Clinic, Inc. NPI is 1649228982, taxonomy code is 207R00000X and license number is A53451, license state is located at California. Ultimed Medical Clinic, Inc. physically located at 5300 Santa Monica Blvd, Los Angeles CA, 90029-1131. NPI Number 1033115704 has the healthcare provider type.

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1649228982 NPI number is provided on an as is basis without warranty of any kind. 1649228982 is maintained by the National Plan & Provider Enumeration System. The contents of Ultimed Medical Clinic, Inc. are for informational purposes only.