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Organization
PONDUS MEDICAL CA, PC
Active
Organization
PONDUS MEDICAL CA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZEQUIEL HALAC (CHIEF ADMINISTRATIVE OFFICER)
(035) 588-6673
Entity
Organization
Contact information
Practice address
330 N BRAND BLVD STE 700, GLENDALE, CA 91203-2336
(305) 588-6673
Mailing address
15811 COLLINS AVE APT 1405, NORTH MIAMI BEACH, FL 33160-4174
(305) 588-6673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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