| Deja Vu Medical | |
|
38 E Huntington Dr Ste B Arcadia CA 91006-7048 | |
| (626) 574-0079 | |
| (626) 254-9412 |
| Full Name | Deja Vu Medical |
|---|---|
| Speciality | Clinic/center |
| Location | 38 E Huntington Dr Ste B, Arcadia, California |
| Authorized Official Name and Position | Barbara Lyle (GENERAL MANAGER) |
| Authorized Official Contact | 6265740079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deja Vu Medical 38 E Huntington Dr Ste B Arcadia CA 91006-7048 Ph: (626) 574-0079 | Deja Vu Medical 38 E Huntington Dr Ste B Arcadia CA 91006-7048 Ph: (626) 574-0079 |
| NPI Number | 1861620205 |
|---|---|
| Provider Enumeration Date | 06/24/2009 |
| Last Update Date | 09/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861620205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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