Organization
COUNTY OF LOS ANGELES
Active
Other names
MLK-MACC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ART BERNAL (CBO MANAGER)
(323) 890-7775
Entity
Organization
Contact information
Practice address
12021 WILMINGTON AVE, LOS ANGELES, CA 90059-3019
(323) 890-7509
Mailing address
12021 WILMINGTON AVE, LOS ANGELES, CA 90059-3019
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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