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Organization

ALTAMED SBC PACE EAST LOS ANGELES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL E. HOCHMAN MD (MEDICAL DIRECTOR, INNOVATION)
(617) 407-9515
Entity
Organization

Contact information

Practice address
5425 POMONA BLVD, LOS ANGELES, CA 90022-1716
(617) 407-9515
Mailing address
5425 POMONA BLVD, LOS ANGELES, CA 90022-1716
(617) 407-9515

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A107932
CA

Other

Enumeration date
05/22/2007
Last updated
04/26/2012
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