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Organization
WHOLE LIFE MEDICAL GROUP INC.
Active
Organization
WHOLE LIFE MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JAROCINSKI (PRESIDENT)
(310) 543-7755
Entity
Organization
Contact information
Practice address
800 S PACIFIC COAST HWY STE 6B, REDONDO BEACH, CA 90277-4772
(310) 543-7755
Mailing address
800 S PACIFIC COAST HWY STE 6B, REDONDO BEACH, CA 90277-4772
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
38144
CA
Other
Enumeration date
11/17/2007
Last updated
11/17/2007
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