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321 N Larchmont Blvd Ste 404 Los Angeles CA 90004-6404 | |
(323) 461-9355 | |
(323) 800-5999 |
Full Name | |
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Speciality | Internal Medicine |
Location | 321 N Larchmont Blvd Ste 404, Los Angeles, California |
Authorized Official Name and Position | Dennis Dasher (OWNER) |
Authorized Official Contact | 3234619355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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321 N Larchmont Blvd Suite 404 Los Angeles CA 90004-3025 Ph: (323) 461-9355 | 321 N Larchmont Blvd Ste 404 Los Angeles CA 90004-6404 Ph: (323) 461-9355 |
NPI Number | 1285859967 |
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Provider Enumeration Date | 04/16/2007 |
Last Update Date | 03/23/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285859967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (California) | Primary |
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