| Dmc-ods | |
|
1403 Lomita Blvd Suite 102, Rooms 1-26 & Conference Room Harbor City CA 90710 | |
| (310) 534-6221 | |
| Not Available |
| Full Name | Dmc-ods |
|---|---|
| Speciality | Clinic/center |
| Location | 1403 Lomita Blvd, Harbor City, California |
| Authorized Official Name and Position | Virginia Perez (CHIEF-CONSOLIDATED BUSINESS OFFICE) |
| Authorized Official Contact | 3239147622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dmc-ods 1403 Lomita Blvd Suite 102 Harbor City CA 90710 Ph: (310) 534-6221 | Dmc-ods 1403 Lomita Blvd Suite 102, Rooms 1-26 & Conference Room Harbor City CA 90710 Ph: (310) 534-6221 |
| NPI Number | 1194288852 |
|---|---|
| Provider Enumeration Date | 04/10/2019 |
| Last Update Date | 04/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194288852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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