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Organization
SM MED CORP
Active
Organization
SM MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR S MAKOUI (PRESIDENT)
(818) 465-6614
Entity
Organization
Contact information
Practice address
16530 VENTURA BLVD STE 100, ENCINO, CA 91436-2006
(818) 465-6614
Mailing address
PO BOX 260920, ENCINO, CA 91426-0920
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A75531
CA
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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