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Organization

RICHARD B. JURMAIN MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD B JURMAIN M.D. (PRESIDENT)
(310) 815-1650
Entity
Organization

Contact information

Practice address
9808 VENICE BLVD, SUITE 503, CULVER CITY, CA 90232-2732
(310) 815-1650
Mailing address
9808 VENICE BLVD, SUITE 503, CULVER CITY, CA 90232-2732
(310) 815-1650

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A22905
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
WA22905B
RAILROAD MEDICARE
CA
Enumeration date
07/07/2006
Last updated
07/09/2010
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