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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARCIA SHARON JANNI (OWNER/MANAGER)
(310) 497-0064
Entity
Organization

Contact information

Practice address
3680 WILSHIRE BLVD, STE PO4 #1440, LOS ANGELES, CA 90010
(310) 497-0064
Mailing address
3680 WILSHIRE BLVD, STE PO4 #1440, LOS ANGELES, CA 90010
(310) 497-0064

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
06/02/2025
Last updated
06/02/2025
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