Organization
WEST LA PHYSICAL MEDICINE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY HALEM M.D. (MEDICAL DOCTOR)
(310) 473-7130
Entity
Organization
Contact information
Practice address
11110 OHIO AVE, SUITE 108, LOS ANGELES, CA 90025-3388
(310) 473-7130
(310) 473-5077
Mailing address
11110 OHIO AVE, SUITE 108, LOS ANGELES, CA 90025-3388
(310) 473-7130
(310) 473-5077
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A89000
CA
Other
Enumeration date
09/14/2012
Last updated
08/01/2013
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