Organization
ALL CARE MEDICAL GROUP INC
Active
Other names
Professional Services Medical Group Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL ROTENBERG MD (MEDICAL DIRECTOR)
(323) 589-6681
Entity
Organization
Contact information
Practice address
2675 E SLAUSON AVENUE, PROFESSIONAL SERVICES MEDICAL GROUP INC, HUNTINGTON PARK, CA 90255
(323) 589-6681
(323) 589-4903
Mailing address
2675 E SLAUSON AVENUE, PROFESSIONAL SERVICES MEDICAL GROUP INC, HUNTINGTON PARK, CA 90255
(323) 589-6681
(323) 589-4903
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0029130
—
CA
05
—
GR0029131
—
CA
05
—
GR0029133
—
CA
Enumeration date
01/25/2007
Last updated
09/04/2008
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