| Advance Health Integrative Medicine | |
|
11633 San Vicente Blvd # 107 Los Angeles CA 90049-6511 | |
| (310) 779-9537 | |
| Not Available |
| Full Name | Advance Health Integrative Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 11633 San Vicente Blvd # 107, Los Angeles, California |
| Authorized Official Name and Position | Rashel John Tahzib (PRESIDENT AND MEDICAL DIRECTOR) |
| Authorized Official Contact | 3107799537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Health Integrative Medicine 11633 San Vicente Blvd # 107 Los Angeles CA 90049-6511 Ph: (310) 779-9537 | Advance Health Integrative Medicine 11633 San Vicente Blvd # 107 Los Angeles CA 90049-6511 Ph: (310) 779-9537 |
| NPI Number | 1891016028 |
|---|---|
| Provider Enumeration Date | 06/22/2010 |
| Last Update Date | 06/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891016028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 20A9090 (California) | Primary |
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