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Organization
LA JOLLA MEDICAL GROUP INC
Active
Organization
LA JOLLA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASHA J LIVHITS M.D. (PRESIDENT)
(323) 653-6431
Entity
Organization
Contact information
Practice address
6221 WILSHIRE BLVD, SUITE 509, LOS ANGELES, CA 90048-5201
(323) 653-6431
(323) 653-3895
Mailing address
6221 WILSHIRE BLVD, SUITE 509, LOS ANGELES, CA 90048-5201
(323) 653-6431
(323) 653-3895
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A103993
CA
Other
Enumeration date
01/07/2015
Last updated
12/14/2016
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