Organization
DOCTORS CHOICE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAN NHU BICH PHAN (ADMINISTRATOR)
(818) 399-8996
Entity
Organization
Contact information
Practice address
2295-A HUNTINGTON DRIVE, SAN MARINO, CA 91108
(818) 399-8996
Mailing address
2295-A HUNTINGTON DRIVE, SAN MARINO, CA 91108
(818) 399-8996
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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