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Organization
WEST COAST MEDICAL ASSOCIATES, LLC
Active
Organization
WEST COAST MEDICAL ASSOCIATES, LLC
Active
Parent organization
YMA ACQUISITION, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
YMA ACQUISITION, LLC
Authorized official
MR. MARK KOVINSKY (PRESIDENT)
(424) 335-0520
Entity
Organization
Contact information
Practice address
8777 W PICO BLVD, LOS ANGELES, CA 90035-2212
(424) 335-0520
(424) 335-0521
Mailing address
8777 W PICO BLVD, LOS ANGELES, CA 90035-2212
(424) 335-0520
(424) 335-0521
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY53839
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811125198
—
CA
Enumeration date
06/25/2009
Last updated
08/31/2016
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