Organization
OCEAN MEDICAL THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARBOD DADVAND (SECRETARY)
(310) 663-6987
Entity
Organization
Contact information
Practice address
6399 WILSHIRE BLVD STE 501, LOS ANGELES, CA 90048-5708
(310) 663-6987
Mailing address
6399 WILSHIRE BLVD STE 501, LOS ANGELES, CA 90048-5708
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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