Drl Med Inc. | |
6404 Wilshire Blvd Suite 701 Los Angeles CA 90048-5501 | |
(323) 653-3478 | |
(323) 653-2720 |
Full Name | Drl Med Inc. |
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Speciality | Psychiatry & Neurology |
Location | 6404 Wilshire Blvd, Los Angeles, California |
Authorized Official Name and Position | Douglas Davies (PRESIDENT/OWNER) |
Authorized Official Contact | 3236533478 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Drl Med Inc. 6404 Wilshire Blvd Suite 701 Los Angeles CA 90048-5501 Ph: (323) 653-3478 | Drl Med Inc. 6404 Wilshire Blvd Suite 701 Los Angeles CA 90048-5501 Ph: (323) 653-3478 |
NPI Number | 1124290697 |
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Provider Enumeration Date | 03/25/2008 |
Last Update Date | 03/25/2008 |
Medicare PECOS PAC ID | 9133396831 |
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Medicare Enrollment ID | O20120120000479 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124290697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | A46270 (California) | Primary |
Provider Name | Douglas David Davies |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1326073222 PECOS PAC ID: 4688841380 Enrollment ID: I20120314000801 |
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