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Organization
LADDARAN MEDICAL GROUP
Active
Organization
LADDARAN MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA CHUA LADDARAN (PRESIDENT)
(213) 413-8742
Entity
Organization
Contact information
Practice address
2105 BEVERLY BLVD, STE 117, LOS ANGELES, CA 90057
(213) 413-8742
(213) 413-6482
Mailing address
2105 BEVERLY BLVD, STE 117, LOS ANGELES, CA 90057
(213) 413-8742
(213) 413-6482
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A365070
CA
2085R0202X
Diagnostic Radiology Physician
A365910
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0064390
—
CA
Enumeration date
09/05/2006
Last updated
09/29/2008
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