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Organization
NORTH BROADWAY MEDICAL CLINIC INC
Active
Organization
NORTH BROADWAY MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCISCO B. FUSCALDO M.D. (OWNER)
(323) 221-1131
Entity
Organization
Contact information
Practice address
2926 N BROADWAY, LOS ANGELES, CA 90031-2601
(323) 221-1131
(323) 221-3197
Mailing address
2926 N BROADWAY, LOS ANGELES, CA 90031-2601
(323) 221-1131
(323) 221-3197
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A25805
CA
Other
Enumeration date
03/27/2007
Last updated
08/05/2015
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