Organization
LASER ENDOSCOPY MEDICAL GROUP, INC.
Active
Other names
Richard M. Dwyer, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MICHAEL DWYER M.D. (PRESIDENT)
(213) 483-2470
Entity
Organization
Contact information
Practice address
201 S ALVARADO ST, SUITE 407, LOS ANGELES, CA 90057-2320
(213) 483-2470
(213) 483-0476
Mailing address
201 S ALVARADO ST, SUITE 407, LOS ANGELES, CA 90057-2320
(213) 483-2470
(213) 483-0476
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0009250
—
CA
05
—
GR0009251
—
CA
Enumeration date
06/07/2007
Last updated
08/22/2020
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