Organization
KIMIA WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY KIMIA MS ORIENTAL MED (OWNER L.AC.)
(310) 882-8228
Entity
Organization
Contact information
Practice address
11540 SANTA MONICA BLVD, SUITE 203, LOS ANGELES, CA 90025-7905
(310) 882-8228
Mailing address
1937 GREENFIELD AVE, LOS ANGELES, CA 90025-5711
(310) 882-8228
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
17546
CA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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