Organization
LA GENERAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN GOHAR MD (DIRECTOR)
(818) 345-5454
Entity
Organization
Contact information
Practice address
7033 RESEDA BLVD, RESEDA, CA 91335
(818) 345-5454
(818) 345-5472
Mailing address
7033 RESEDA BLVD, RESEDA, CA 91335
(818) 345-5454
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A42317
CA
Other
Enumeration date
04/29/2008
Last updated
01/12/2009
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