# JULES STEIN INSTITUTE MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114372356
- **Authorized official:** DR. BARTLY J MONDINO MD (CHAIRMAN)
- **Authorized official phone:** (310) 825-5053

## Contact information

- **Practice address:** 5767 W CENTURY BLVD, STE 400, LOS ANGELES, CA 90045-5631
- **Practice address phone:** (310) 301-8707
- **Practice address fax:** (310) 301-8751
- **Mailing address:** 622 W DUARTE RD, SUITE 101, ARCADIA, CA 91007-7606
- **Mailing address phone:** (626) 254-9010
- **Mailing address fax:** (262) 254-9019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 04/25/2016
- **Last updated:** 04/25/2016