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Organization
MLSL, INCORPORATED
Active
Organization
MLSL, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA LUCILA SISON LLANES MD (PRESIDENT)
(626) 813-1222
Entity
Organization
Contact information
Practice address
933 S SUNSET AVE, SUITE 105, WEST COVINA, CA 91790-3410
(626) 813-1222
(626) 813-1221
Mailing address
933 S SUNSET AVE, SUITE 105, WEST COVINA, CA 91790-3410
(626) 813-1222
(626) 813-1221
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A80090
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A800900
—
CA
Enumeration date
06/26/2006
Last updated
03/21/2008
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