Organization
CAVALES ASTHMA ALLERGY MEDICAL CLINIC,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYDIA CAVALES OFTADEH MD (MEDICAL DIRECTOR)
(323) 582-5458
Entity
Organization
Contact information
Practice address
4566 FLORENCE AVE STE 4, CUDAHY, CA 90201-4346
(323) 582-5458
(323) 835-1475
Mailing address
PO BOX 3925, CERRITOS, CA 90703-3925
(323) 582-5458
(323) 835-1475
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A50327
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A50327
—
CA
Enumeration date
12/15/2006
Last updated
08/22/2020
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