Organization
BMC MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL AYODELE MD (CEO)
(323) 779-8398
Entity
Organization
Contact information
Practice address
11126 S MAIN ST, LOS ANGELES, CA 90061-1926
(323) 779-8398
Mailing address
11126 S MAIN ST, LOS ANGELES, CA 90061-1926
(323) 779-8398
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A46478
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619169406
—
CA
Enumeration date
03/04/2011
Last updated
11/09/2011
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