Organization
AEI & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEIRDRE WASHINGTON MD (PRESIDENT)
(818) 419-6659
Entity
Organization
Contact information
Practice address
10605 BALBOA BLVD, GRANADA HILLS, CA 91344-6342
(818) 419-6659
(818) 559-9571
Mailing address
10061 RIVERSIDE DR, SUITE 409, TOLUCA LAKE, CA 91602-2560
(818) 419-6659
(818) 559-9571
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A72336
CA
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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