| Lice Clinics Of America Lax | |
|
5587 W Manchester Ave Los Angeles CA 90045-4413 | |
| (310) 999-5343 | |
| Not Available |
| Full Name | Lice Clinics Of America Lax |
|---|---|
| Speciality | Clinic/center |
| Location | 5587 W Manchester Ave, Los Angeles, California |
| Authorized Official Name and Position | Mario Danny Esquivel (OWNER/TECH) |
| Authorized Official Contact | 3109995343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lice Clinics Of America Lax 11912 Bray St Culver City CA 90230 Ph: (310) 999-5343 | Lice Clinics Of America Lax 5587 W Manchester Ave Los Angeles CA 90045-4413 Ph: (310) 999-5343 |
| NPI Number | 1578078127 |
|---|---|
| Provider Enumeration Date | 12/05/2017 |
| Last Update Date | 12/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578078127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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