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Organization

LAX PHYSICAL MEDICINE, INC.

Active
Find providers by NPI
Organization

LAX PHYSICAL MEDICINE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHELLEY MCDONALD MD (PRESIDENT)
(310) 670-9999
Entity
Organization

Contact information

Practice address
9100 S SEPULVEDA BLVD, SUITE 104, LOS ANGELES, CA 90045-4849
(310) 670-9999
(310) 670-9994
Mailing address
9100 S SEPULVEDA BLVD, SUITE 104, LOS ANGELES, CA 90045-4849
(310) 670-9999
(310) 670-9994

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A101415
CA

Other

Enumeration date
06/28/2013
Last updated
08/02/2013
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