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Organization
REDONDO BEACH PHYSICAL MEDICINE
Active
Organization
REDONDO BEACH PHYSICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN SANCHEZ DC (MANAGER)
(310) 379-3303
Entity
Organization
Contact information
Practice address
901 N PACIFIC COAST HWY STE 101, REDONDO BEACH, CA 90277-2162
(310) 379-3303
Mailing address
901 N PACIFIC COAST HWY STE 101, REDONDO BEACH, CA 90277-2162
(310) 379-3303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A118026
CA
363LF0000X
Family Nurse Practitioner
NPF95007657
CA
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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