Organization
PAJA MEDICAL GROUP
Active
Other names
OLYPIC FAMILIA CLINICA INC
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MANABO NP (NURSE PRACTITIONER)
(949) 293-1971
Entity
Organization
Contact information
Practice address
8301 S VERMONT AVE, LOS ANGELES, CA 90044-3470
(323) 778-7772
Mailing address
8301 S VERMONT AVE, LOS ANGELES, CA 90044-3470
(323) 778-7772
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A65363
CA
Other
Enumeration date
05/24/2013
Last updated
02/28/2014
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