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Organization
RYMEDICAL CORPORATION
Active
Organization
RYMEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M WILSON MD (PRESIDENT)
(818) 848-8891
Entity
Organization
Contact information
Practice address
2131 W 3RD ST, LOS ANGELES, CA 90057-1901
(213) 484-7111
Mailing address
713 25TH ST, MANHATTAN BEACH, CA 90266-2227
(818) 848-8891
(818) 848-8892
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A75466
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A75466
LI CENSE NUMBER
CA
Enumeration date
04/23/2009
Last updated
04/23/2009
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