Organization
WORLD GYM DHS SUCCESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW LEVINE (OWNER)
(760) 329-8504
Entity
Organization
Contact information
Practice address
12155 PALM DR, DESERT HOT SPRINGS, CA 92240-3956
(760) 329-8504
Mailing address
12155 PALM DR, DESERT HOT SPRINGS, CA 92240-3956
(760) 329-8504
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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