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Organization
ENNEAD ENTERPRISES CORP
Active
Organization
ENNEAD ENTERPRISES CORP
Active
Other names
SC Physicians Immediate Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILLY ROSE MARSHALL M.D. (DIRECTOR)
(661) 255-2880
Entity
Organization
Contact information
Practice address
23501 CINEMA DR., SUIRE #100, VALENCIA, CA 91355
(661) 255-2880
(661) 255-2190
Mailing address
26012 OHARA LN, STEVENSON RANCH, CA 91381-1109
(661) 255-6920
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
G52007
CA
Other
Enumeration date
01/04/2007
Last updated
08/22/2020
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