Registry details
Type
Organization
Primary specialty
General Practice
Enumerated
Oct 22, 2025
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 818 N BROADWAY STE 205 | Los Angeles, CA 90012-2342 | 818-930-6136 |
| LOCATION | 818 N BROADWAY STE 205 | Los Angeles, CA 90012-2342 | 818-930-6136 |
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