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Organization
IMMANUEL MEDICAL CENTER INC
Active
Organization
IMMANUEL MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLYDE ARNOLD (PRESIDENT)
(323) 931-8866
Entity
Organization
Contact information
Practice address
903 CRENSHAW BLVD STE 302, LOS ANGELES, CA 90019-1967
(323) 931-8866
Mailing address
903 CRENSHAW BLVD STE 302, LOS ANGELES, CA 90019-1967
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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