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Organization
WEST LA PHYSICAL MEDICINE INC.
Active
Organization
WEST LA PHYSICAL MEDICINE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY HALEM M.D. (MEDICAL DOCTOR)
(310) 473-7130
Entity
Organization
Contact information
Practice address
11110 OHIO AVE, SUITE 108, LOS ANGELES, CA 90025-3388
(310) 473-7130
(310) 473-5077
Mailing address
11110 OHIO AVE, SUITE 108, LOS ANGELES, CA 90025-3388
(310) 473-7130
(310) 473-5077
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A89000
CA
Other
Enumeration date
09/14/2012
Last updated
08/01/2013
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