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Organization
IMPERIAL MEDICAL CENTER
Active
Organization
IMPERIAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED JAVDAN M.D. (PHYSICIAN)
(310) 990-9822
Entity
Organization
Contact information
Practice address
4324 S VERMONT AVE, LOS ANGELES, CA 90037-2412
(310) 990-9822
Mailing address
332 S PALM DR, BEVERLY HILLS, CA 90212-3512
(310) 990-9822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A76858
CA
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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