Organization
ADVANCED FAMILY CARE MEDICAL LABORATORY
Active
Parent organization
ADVANCED FAMILY CARE MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED FAMILY CARE MEDICAL GROUP
Authorized official
MS. LORNA MAE JOHNSON M.S.N., N.P., N.M. (ADMINISTRATOR)
(323) 588-0084
Entity
Organization
Contact information
Practice address
1201 E FLORENCE AVE, LOS ANGELES, CA 90001-2432
(323) 588-0084
(323) 617-3169
Mailing address
1201 E FLORENCE AVE, LOS ANGELES, CA 90001-2432
(323) 588-0084
(323) 617-3169
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLA 00322416
CA
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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