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Organization
L A STAR MEDICAL GROUP, INC.
Active
Organization
L A STAR MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILE SHENOUDA MD (PRESIDENT)
(323) 566-4411
Entity
Organization
Contact information
Practice address
10132 CALIFORNIA AVE, SOUTH GATE, CA 90280-6008
(323) 566-4411
(323) 566-0390
Mailing address
10132 CALIFORNIA AVE, SOUTH GATE, CA 90280-6008
(323) 566-4411
(323) 566-0390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A56273
CA
208000000X
Pediatrics Physician
A56273
CA
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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