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Organization

CENTRAL METRO CLINIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANNA GURYANOVA (MANAGER)
(213) 380-3800
Entity
Organization

Contact information

Practice address
3440 WILSHIRE BLVD STE 1207, LOS ANGELES, CA 90010-2127
(213) 380-3800
Mailing address
3440 WILSHIRE BLVD STE 1207, LOS ANGELES, CA 90010-2127

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
08/31/2023
Last updated
08/31/2023
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