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Organization
PACIFIC RESPIRATORY SERVICES
Active
Organization
PACIFIC RESPIRATORY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARK LISHEY (OWNER)
(310) 717-6824
Entity
Organization
Contact information
Practice address
440 W 64TH PL, INGLEWOOD, CA 90302-1136
(310) 717-6824
Mailing address
440 W 64TH PL, INGLEWOOD, CA 90302-1136
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
CA
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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