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Organization
ULTIMED MEDICAL CLINIC, INC.
Active
Organization
ULTIMED MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANOLITO SOSA BUENDIA M.D. (PRESIDENT)
(661) 799-9585
Entity
Organization
Contact information
Practice address
5300 SANTA MONICA BLVD, SUITE 304, LOS ANGELES, CA 90029-1131
(323) 993-0700
(323) 993-0734
Mailing address
5300 SANTA MONICA BLVD, SUITE 304, LOS ANGELES, CA 90029-1131
(323) 993-0700
(323) 993-0734
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A53451
CA
Other
Enumeration date
05/05/2006
Last updated
08/22/2020
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