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Organization
TRADITIONAL FAMILY PRACTICE INC
Active
Organization
TRADITIONAL FAMILY PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUDMILA AFONICHEVA (CEO)
(310) 328-2146
Entity
Organization
Contact information
Practice address
2204 TORRANCE BLVD, SUITE 105, TORRANCE, CA 90501-2544
(310) 328-2146
(310) 328-2242
Mailing address
2204 TORRANCE BLVD, SUITE 105, TORRANCE, CA 90501-2544
(310) 328-2146
(310) 328-2242
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
W17913
CA
Other
Enumeration date
09/14/2007
Last updated
06/17/2013
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