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Organization
SIENA MEDICAL GROUP A MEDICAL MORPORATION
Active
Organization
SIENA MEDICAL GROUP A MEDICAL MORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW STANITSAS D.O. (PRESIDENT)
(213) 989-0776
Entity
Organization
Contact information
Practice address
1711 W TEMPLE ST, SUITE 3681, LOS ANGELES, CA 90026-5421
(213) 989-0776
(213) 989-0703
Mailing address
1711 W TEMPLE ST, SUITE 3681, LOS ANGELES, CA 90026-5421
(213) 989-0776
(213) 989-0703
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20A6873
CA
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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