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Organization
ROSSCOE VAN NUYS MEDICAL CLINIC, INC.
Active
Organization
ROSSCOE VAN NUYS MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AIDA HAWATMEH (OVNER)
(818) 782-1982
Entity
Organization
Contact information
Practice address
8121 VAN NUYS BLVD STE 414, PANORAMA CITY, CA 91402-5120
(818) 782-1982
(818) 782-1935
Mailing address
8121 VAN NUYS BLVD STE 414, PANORAMA CITY, CA 91402-5120
(818) 782-1982
(818) 782-1935
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC20620
CA
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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