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Organization
INTEGRATED MEDICAL CENTER DTLA PC
Active
Organization
INTEGRATED MEDICAL CENTER DTLA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULO VILLANUEVA (AUTHORIZED OFFICIAL)
(310) 259-7748
Entity
Organization
Contact information
Practice address
1055 WILSHIRE BLVD STE 1930, LOS ANGELES, CA 90017-5602
(310) 259-7748
Mailing address
1055 WILSHIRE BLVD STE 1930, LOS ANGELES, CA 90017-5602
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
08/25/2022
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