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Organization

TOTAL CARE MOBILE MEDICAL UNIT

Active
Parent organization
TOTAL CARE MEDICAL CLINIC LNC
Other names
Total Care Medical Clinic lnc
Organization subpart
Yes

Provider details

NPI number
Legal business name
TOTAL CARE MEDICAL CLINIC LNC
Authorized official
CARMEN BROWN DO (MANAGER)
(323) 756-1412
Entity
Organization

Contact information

Practice address
10024 S VERMONT AVE, LOS ANGELES, CA 90044-3112
(323) 756-1412
(323) 756-1413
Mailing address
10024 S VERMONT AVE, LOS ANGELES, CA 90044-3112
(323) 756-1412
(323) 756-1413

Taxonomy

Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
550002631
CA
343900000X
Non-emergency Medical Transport (VAN)
550002631
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
550002631
CA
Enumeration date
09/14/2016
Last updated
09/14/2016
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