Organization
LEADING EDGE INNOVATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL DWORK PHARM.D. (PRESIDENT)
(805) 388-7669
Entity
Organization
Contact information
Practice address
699 MOBIL AVE, CAMARILLO, CA 93010-6315
(805) 388-7669
(805) 389-8142
Mailing address
699 MOBIL AVE, CAMARILLO, CA 93010-6315
(805) 388-7669
(805) 389-8142
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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