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Organization

STAR MEDICAL GROUP AND REHABILITATION

Active
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Organization

STAR MEDICAL GROUP AND REHABILITATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER LY M.D. (PRESIDENT)
(213) 200-0198
Entity
Organization

Contact information

Practice address
5524 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-2535
(323) 581-5111
(323) 581-5122
Mailing address
5524 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-2535
(323) 581-5111
(323) 581-5122

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
174400000X
Specialist
—
—

Other

Enumeration date
04/05/2011
Last updated
04/05/2011
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