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Organization
OWC MEDICAL CORPORATION
Active
Organization
OWC MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL D COLEMAN MBA, D.C. (VICE- PRESIDENT)
(818) 261-4208
Entity
Organization
Contact information
Practice address
8820 WILSHIRE BLVD, SUITE 110, BEVERLY HILLS, CA 90211-2620
(424) 204-9001
Mailing address
16030 VENTURA BLVD, SUITE 240, ENCINO, CA 91436-2731
(818) 261-4208
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G77858
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G77858
CALIFORNIA MEDICAL BOARD
CA
Enumeration date
01/27/2015
Last updated
01/27/2015
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