Organization
THRIVE HEALTH IV CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND DOUGLAS MD (PRESIDENT)
(310) 363-8757
Entity
Organization
Contact information
Practice address
9675 BRIGHTON WAY STE 410, BEVERLY HILLS, CA 90210-5192
(310) 363-8757
(310) 363-8758
Mailing address
9675 BRIGHTON WAY STE 410, BEVERLY HILLS, CA 90210-5192
(310) 363-8757
(310) 363-8758
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
05/11/2023
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