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Organization
GOTTLIEB MEDICAL GROUP
Active
Organization
GOTTLIEB MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S GOTTLIEB M.D. (OWNER)
(323) 816-3193
Entity
Organization
Contact information
Practice address
5901 W OLYMPIC BLVD, SUITE 401, LOS ANGELES, CA 90036-4667
(323) 816-3193
Mailing address
1613 CHELSEA RD, #334, SAN MARINO, CA 91108-2419
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
G34195
CA
207R00000X
Internal Medicine Physician
Primary
G34195
CA
Other
Enumeration date
01/14/2014
Last updated
01/15/2014
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