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Organization
MLSL, INCORPORATED
Active
Organization
MLSL, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA LUCILA SISON LLANES MD (PRESIDENT)
(626) 814-0500
Entity
Organization
Contact information
Practice address
1515 W CAMERON AVE STE 202, WEST COVINA, CA 91790-2734
(626) 814-0500
Mailing address
1515 W CAMERON AVE STE 202, WEST COVINA, CA 91790-2734
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A80090
CA
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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