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Organization
SEVILLA MEDICAL GROUP INC
Active
Organization
SEVILLA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMAS SEVILLA MD (OWNER)
(323) 342-9764
Entity
Organization
Contact information
Practice address
2813 N BROADWAY, LOS ANGELES, CA 90031-2611
(323) 342-9764
(323) 342-9656
Mailing address
PO BOX 31340, LOS ANGELES, CA 90031-0340
(323) 342-9764
(323) 342-9656
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A63670
CA
Other
Enumeration date
07/14/2008
Last updated
05/26/2010
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