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Organization
SANTA TERESITA MEDICAL CLINIC GROUP INC
Active
Organization
SANTA TERESITA MEDICAL CLINIC GROUP INC
Active
Other names
Santa Teresita Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN LEWIS M. D (OWNER)
(323) 222-5550
Entity
Organization
Contact information
Practice address
2929 N BROADWAY, LOS ANGELES, CA 90031-2602
(323) 222-5550
(323) 222-5552
Mailing address
2929 N BROADWAY, LOS ANGELES, CA 90031-2602
(323) 222-5550
(323) 222-5552
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A51248
CA
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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