Organization
EQUALITY, AN INDEPENDENT PRACTICE ASSOCIATION, INC., A MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAN NHU BICH PHAN (ADMINISTRATOR)
(818) 399-8996
Entity
Organization
Contact information
Practice address
2360 HUNTINGTON DR STE 201, SAN MARINO, SAN MARINO, CA 91108-2651
(818) 399-8996
Mailing address
2360 HUNTINGTON DR STE 201, SAN MARINO, SAN MARINO, CA 91108-2651
(818) 399-8996
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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