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Organization

LOS ANGELES JEWISH HOME IPA

Active
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Organization

LOS ANGELES JEWISH HOME IPA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NOACHIM MARCO MD (CHIEF MEDICAL OFFICER)
(818) 774-3032
Entity
Organization

Contact information

Practice address
7150 TAMPA AVE, RESEDA, CA 91335-3700
(818) 774-3000
(818) 757-4401
Mailing address
7150 TAMPA AVE, RESEDA, CA 91335-3700
(818) 774-3000
(818) 757-4401

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—

Other

Enumeration date
03/01/2016
Last updated
03/01/2016
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