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Hospitals General Acute Care Hospital

Provider NPI: 1356872667

Organization Information:
Organization is not Subpart
Authorized Official:  ARIC  GREGSON  PHYSICIAN  424-256-6682

Practice Location:
11301 W OLYMPIC BLVD SUITE 121-435 LOS ANGELES, CA 90064-1653 US
Tel: 424-256-6682  Fax: --

Business Mailing Address:
11301 W OLYMPIC BLVD SUITE 121-435 LOS ANGELES, CA 90064-1653 US
Tel: --  Fax: --

NPI Information:
NPI: 1356872667
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
General Acute Care Hospital

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 282N00000X





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