Organization
DOWNTOWN LOS ANGELES MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRENCE J FITZGIBBONS M.D. (MEDICAL DIRECTOR)
(213) 481-0584
Entity
Organization
Contact information
Practice address
1245 WILSHIRE BLVD, SUITE 905, LOS ANGELES, CA 90017-4810
(213) 481-0584
(213) 481-1509
Mailing address
PO BOX 65, SIMI VALLEY, CA 93062-0065
(213) 481-0584
(213) 481-1509
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G32025
CA
Other
Enumeration date
08/20/2006
Last updated
08/22/2020
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