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Organization
UNIVERSAL MEDICAL CLINIC, INC.
Active
Organization
UNIVERSAL MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHOLAM R HOSSEINIAN M.D. (PHYSICIAN)
(310) 323-9999
Entity
Organization
Contact information
Practice address
18701 SHERMAN WAY, RESEDA, CA 91335-4045
(310) 323-9999
Mailing address
18701 SHERMAN WAY, RESEDA, CA 91335-4045
(310) 323-9999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A521780
—
CA
05
—
00A724850
—
CA
Enumeration date
10/23/2007
Last updated
10/23/2007
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