Organization
ALLC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMNON LICHT M.D (PRESIDENT)
(310) 839-3200
Entity
Organization
Contact information
Practice address
9808 VENICE BLVD, 706, CULVER CITY, CA 90232-2732
(310) 839-3200
Mailing address
9808 VENICE BLVD, 706, CULVER CITY, CA 90232-2732
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
08/22/2020
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