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Organization
AG INFECTIOUS DISEASES, A MEDICAL CORPORATION
Active
Organization
AG INFECTIOUS DISEASES, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIC GREGSON MD (PHYSICIAN)
(424) 256-6682
Entity
Organization
Contact information
Practice address
11301 W OLYMPIC BLVD, SUITE 121-435, LOS ANGELES, CA 90064-1653
(424) 256-6682
Mailing address
11301 W OLYMPIC BLVD, SUITE 121-435, LOS ANGELES, CA 90064-1653
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
A68156
CA
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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