Organization
IDEAL HEALTH CARE AND MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARNEL JOAQUIN M.D. (MEDICAL DIRECTOR)
(323) 462-2271
Entity
Organization
Contact information
Practice address
6245 DE LONGPRE AVE, 206, HOLLYWOOD, CA 90028-8253
(323) 462-2271
(323) 785-1223
Mailing address
6245 DE LONGPRE AVE, 206, HOLLYWOOD, CA 90028-8253
(323) 462-2271
(323) 785-1223
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0086130
—
CA
05
—
GR0086131
—
CA
Enumeration date
06/04/2006
Last updated
05/22/2014
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