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Organization
MOSAIC FAMILY CARE MEDICAL GROUP, INC.
Active
Organization
MOSAIC FAMILY CARE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN ANTONIO SILVA M.D. (MD/CEO)
(323) 226-9042
Entity
Organization
Contact information
Practice address
4857 HUNTINGTON DR N, LOS ANGELES, CA 90032
(323) 226-9042
(323) 226-9426
Mailing address
4857 HUNTINGTON DR N, LOS ANGELES, CA 90032
(323) 226-9042
(323) 226-9424
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0091710
—
CA
Enumeration date
02/21/2007
Last updated
06/11/2015
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