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Organization
UNITED PHYSICIAN MULTISPECIALTY GROUP INC
Active
Organization
UNITED PHYSICIAN MULTISPECIALTY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL HRABKO M.D. (PRESIDENT)
(213) 413-4203
Entity
Organization
Contact information
Practice address
1037 E PACIFIC COAST HWY, WILMINGTON, CA 90744-2726
(310) 549-6950
Mailing address
1930 WILSHIRE BLVD, SUITE 410, LOS ANGELES, CA 90057-3605
(213) 413-4203
(213) 413-5615
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G39326
CA
302F00000X
Exclusive Provider Organization
FNP34335
CA
Other
Enumeration date
06/08/2006
Last updated
05/27/2008
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