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Organization

ESTIANDAN'S MEDICAL GROUP, INC.

Active
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Organization

ESTIANDAN'S MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLOS P. ESTIANDAN M.D. (PRESIDENT)
(213) 483-7315
Entity
Organization

Contact information

Practice address
2115 BEVERLY BLVD, SUITE 100, LOS ANGELES, CA 90057-2200
(213) 483-6080
(213) 483-6234
Mailing address
2115 BEVERLY BLVD, SUITE 100, LOS ANGELES, CA 90057-2200
(213) 483-6080
(213) 483-6234

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A38326
CA
207R00000X
Internal Medicine Physician
A38326
CA
208VP0000X
Pain Medicine Physician
Primary
A38326
CA

Other

Enumeration date
10/11/2006
Last updated
09/11/2025
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