Organization
CLINICAL INTERVENTION GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESAN FORDE PHARM.D, CGP, MS (CHIEF OPERATING OFFICER)
(888) 674-6060
Entity
Organization
Contact information
Practice address
801 N BRAND BLVD, SUITE 630, GLENDALE, CA 91203-1237
(888) 674-6060
Mailing address
801 N BRAND BLVD, SUITE 630, GLENDALE, CA 91203-1237
(888) 674-6060
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
—
—
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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