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Organization

PAN AMERICAN MOA FOUNDATION INC

Active
Other names
MOA Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RON C KATO (DIRECTOR/PRESIDENT)
(310) 574-9900
Entity
Organization

Contact information

Practice address
4533 S. CENTINELA AVENUE, LOS ANGELES, CA 90066-6249
(310) 574-9900
(310) 574-9901
Mailing address
4533 S. CENTINELA AVENUE, LOS ANGELES, CA 90066-6249
(310) 574-9900
(310) 574-9901

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
0002405889-0001-1
CA

Other

Enumeration date
04/20/2011
Last updated
04/20/2011
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