Organization
THE HEART SHACK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIA BERNARD (CEO)
(310) 623-8584
Entity
Organization
Contact information
Practice address
9107 WILSHIRE BLVD, SUITE 450, BEVERLY HILLS, CA 90210-5531
(310) 623-8584
Mailing address
9107 WILSHIRE BLVD, SUITE 450, BEVERLY HILLS, CA 90210-5531
(310) 623-8584
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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