Organization
INITIAL INNOVATIVE BLOOD, LLC
Active
Other names
Initial Innovative Blood, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED SAMUEL (CEO)
(714) 209-9009
Entity
Organization
Contact information
Practice address
16481 WATERWAY CIR APT B, HUNTINGTON BEACH, CA 92649-3256
(714) 209-9009
(714) 384-7233
Mailing address
16481 WATERWAY CIR APT B, HUNTINGTON BEACH, CA 92649-3256
(714) 209-9009
(714) 384-7233
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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