Organization
SAMRA UNIVERSITY
Active
Organization
SAMRA UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERI POWERS DAOM LAC (CLINIC DIRECTOR)
(213) 381-1700
Entity
Organization
Contact information
Practice address
1730 W OLYMPIC BLVD, LOS ANGELES, CA 90015-1019
(213) 381-1700
(213) 381-1701
Mailing address
1730 W OLYMPIC BLVD FL 3, LOS ANGELES, CA 90015-1019
(213) 381-1700
(213) 381-1701
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
CA
Other
Enumeration date
03/13/2008
Last updated
07/21/2022
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