Organization
PAULFARPACIFIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMGAD FARAG (MANAGER)
(310) 310-4373
Entity
Organization
Contact information
Practice address
1673 MALCOLM AVE APT 7, LOS ANGELES, CA 90024-5742
(310) 310-4373
Mailing address
1673 MALCOLM AVE APT 7, LOS ANGELES, CA 90024-5742
(310) 310-4373
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
201308010277
CA
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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