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Organization
LA PROVIDENCIA MEDICAL CLINIC
Active
Organization
LA PROVIDENCIA MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL WOSK MD (DIRECTOR)
(323) 264-4006
Entity
Organization
Contact information
Practice address
3412 WHITTIER BLVD, LOS ANGELES, CA 90023
(323) 264-4006
(323) 264-4052
Mailing address
3412 WHITTIER BLVD, LOS ANGELES, CA 90023
(323) 264-4006
(323) 264-4052
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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