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Organization

LARCHMONT MEDICAL CENTER AND URGENT CARE PC

Active
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Organization

LARCHMONT MEDICAL CENTER AND URGENT CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTONIO ZAMORANO D.O. (CEO)
(818) 850-5667
Entity
Organization

Contact information

Practice address
321 N LARCHMONT BLVD STE 404, LOS ANGELES, CA 90004-6404
(818) 850-5667
(818) 839-2303
Mailing address
1030 S GLENDALE AVE STE 200, GLENDALE, CA 91205-2866
(818) 850-5667

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A10630
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043482060
NPI
CA
01
—
20A10630
OSTEOPATHIC MEDICAL LICENCE
CA
Enumeration date
12/11/2017
Last updated
06/16/2018
About Stedi
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