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Organization

MDIOM INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK LIKER M.D. (CEO)
(310) 738-8250
Entity
Organization

Contact information

Practice address
28212 KELLY JOHNSON PKWY, SUITE#215, VALENCIA, CA 91355-5084
(310) 314-8250
Mailing address
28212 KELLY JOHNSON PKWY, SUITE#215, VALENCIA, CA 91355-5084
(310) 314-8250

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
A062368
CA

Other

Enumeration date
02/14/2011
Last updated
04/05/2011
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