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Organization
CALIFORNIA INTERVENTIONAL MEDICAL GROUP
Active
Organization
CALIFORNIA INTERVENTIONAL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LEE WORTHINGTON-KIRSCH M.D. (PHYSICIAN)
(630) 725-2700
Entity
Organization
Contact information
Practice address
11601 WILSHIRE BLVD, 5TH FLOOR, LOS ANGELES, CA 99025
(630) 725-2737
Mailing address
1901 BUTTERFIELD RD., SUITE 220, DOWNERS GROVE, IL 60515-1279
(630) 725-2700
(630) 725-2783
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
G88795
CA
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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