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Organization
LIFE FITNESS CENTER A MEDICAL GROUP INC
Active
Organization
LIFE FITNESS CENTER A MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL M ASIMUS M.D., M.S.ED. (CEO)
(626) 578-7111
Entity
Organization
Contact information
Practice address
200 E DEL MAR BLVD, SUITE 208, PASADENA, CA 91105-2544
(626) 578-7111
(626) 578-7161
Mailing address
200 E DEL MAR BLVD, SUITE 208, PASADENA, CA 91105-2544
(626) 578-7111
(626) 578-7161
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
06/30/2009
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