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Organization

MILLENNIUM DIAGNOSTIC MEDICAL GROUP, INC.

Active
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Organization

MILLENNIUM DIAGNOSTIC MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MALICIA BRODY (DIRECTOR OF OPERATIONS)
(626) 335-6410
Entity
Organization

Contact information

Practice address
130 W ROUTE 66 STE 219, GLENDORA, CA 91740-6251
(626) 335-6410
(626) 335-9804
Mailing address
PO BOX 1784, ARCADIA, CA 91077-1784
(626) 335-6410
(626) 335-9804

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—

Other

Enumeration date
05/07/2009
Last updated
05/07/2009
About Stedi
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  • EDI platform