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Organization
ALLERGY ASTHMA SINUS MEDICAL CENTER
Active
Organization
ALLERGY ASTHMA SINUS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE A. QUEL MD (DIRECTOR)
(310) 823-6766
Entity
Organization
Contact information
Practice address
4644 LINCOLN BLVD STE 410, MARINA DEL REY, CA 90292-6390
(310) 823-6766
(310) 823-6966
Mailing address
4644 LINCOLN BLVD STE 410, MARINA DEL REY, CA 90292-6390
(310) 823-6766
(310) 823-6966
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
—
NULL
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
—
—
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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