Organization
HMR LIFE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK RISPLER M.D. (PRESIDENT)
(310) 648-2229
Entity
Organization
Contact information
Practice address
3500 N SEPULVEDA BLVD, SUITE 132, MANHATTAN BEACH, CA 90266-3638
(310) 648-2229
(310) 333-0666
Mailing address
3500 N SEPULVEDA BLVD, SUITE 132, MANHATTAN BEACH, CA 90266-3638
(310) 648-2229
(310) 333-0666
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D0868031
CA
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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