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Organization
ILLUMINARY MEDICAL GROUP, PC
Active
Organization
ILLUMINARY MEDICAL GROUP, PC
Active
Other names
Illuminary Medical Group, PC
Organization subpart
No
Provider details
NPI number
Authorized official
JIM SERAJ M.D. (CHIEF EXECUTIVE OFFICER)
(949) 295-0342
Entity
Organization
Contact information
Practice address
2623 E SLAUSON AVE, HUNTINGTON PARK, CA 90255-2926
(323) 583-1931
Mailing address
PO BOX 4419, WOODLAND HILLS, CA 91365-4419
(818) 340-9988
(818) 936-0427
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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