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Organization
TITANIUM HEALTHCARE, LLC
Active
Organization
TITANIUM HEALTHCARE, LLC
Active
Other names
Titanium Extra Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRAY WILLIAM MILLER (PRESIDENT & CEO)
(832) 368-6461
Entity
Organization
Contact information
Practice address
1414 S GRAND AVE, SUITE 475, LOS ANGELES, CA 90015-3067
(323) 812-7805
Mailing address
3223 CAMINO DEL MONTE, CARMEL, CA 93923-9307
(832) 368-6461
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
GO66140
CA
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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