Registry details
Type
Organization
Primary specialty
General Practice
Enumerated
Jan 3, 2011
License(s)
A81752 (CA), A81752 (), A81752 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 14400 ROSCOE BLVD SUITED | Panorama City, CA 91402-3001 | 818-893-5819 |
| LOCATION | 14400 ROSCOE BLVD SUITE D | Panorama City, CA 91402-3001 | 818-893-5819 |
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