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3939 Veselich Ave Apt 302, Los Angeles, CA 90039-1485 | |
(808) 595-6237 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Health Service |
Location | 3939 Veselich Ave Apt 302, Los Angeles, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1932861390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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3939 Veselich Ave Apt 302, Los Angeles, CA 90039-1485 Ph: (808) 595-6237 | 3939 Veselich Ave Apt 302, Los Angeles, CA 90039-1485 Ph: (808) 595-6237 |