Organization
AIS MEDICAL FOODS, INC.
Active
Parent organization
AIS MEDICAL FOODS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AIS MEDICAL FOODS, INC.
Authorized official
ALLEN I. SALICK M.D. (PRESIDENT)
(310) 855-9400
Entity
Organization
Contact information
Practice address
8631 W 3RD ST, SUITE 1145E, LOS ANGELES, CA 90048-5901
(310) 855-9400
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 100, LOS ANGELES, CA 90077-1726
(310) 943-4180
(888) 431-8819
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
A20866
CA
Other
Enumeration date
02/26/2015
Last updated
10/19/2015
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