Robert A. Audell, M.d.,medical Corporation | |
8670 Wilshire Blvd Ste 202 Beverly Hills CA 90211-2930 | |
(310) 855-0751 | |
(310) 657-6342 |
Full Name | Robert A. Audell, M.d.,medical Corporation |
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Speciality | Clinic/center |
Location | 8670 Wilshire Blvd Ste 202, Beverly Hills, California |
Authorized Official Name and Position | Phyllis Wodin (OFFICE MANAGER) |
Authorized Official Contact | 3104321401 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Robert A. Audell, M.d.,medical Corporation 8670 Wilshire Blvd Ste 202 Beverly Hills CA 90211-2930 Ph: (310) 855-0751 | Robert A. Audell, M.d.,medical Corporation 8670 Wilshire Blvd Ste 202 Beverly Hills CA 90211-2930 Ph: (310) 855-0751 |
NPI Number | 1487820601 |
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Provider Enumeration Date | 05/07/2008 |
Last Update Date | 08/29/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487820601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | G047826 (California) | Primary |
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