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Organization
AGAPE MEDICAL GROUP WEST PC
Active
Organization
AGAPE MEDICAL GROUP WEST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAILEY RENGER (ORGANIZATION ADMINISTRATOR)
(973) 943-0967
Entity
Organization
Contact information
Practice address
9720 WILSHIRE BLVD, BEVERLY HILLS, CA 90212-2021
(310) 466-0490
(323) 524-1691
Mailing address
1301 N BROADWAY STE 32260, LOS ANGELES, CA 90012-1408
(310) 466-0490
(323) 524-1691
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
09/16/2026
Last updated
09/16/2026
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