Organization
STARSHIP MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIE SANTIAGO (ADMINISTRATOR)
(818) 610-9360
Entity
Organization
Contact information
Practice address
1703 N AVALON BLVD, WILMINGTON, CA 90744-1432
(310) 233-9355
Mailing address
1703 N AVALON BLVD, WILMINGTON, CA 90744-1432
(818) 518-5980
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
05/19/2021
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