Organization
QUALITY OF LIFE MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICIA ROLDAN DO (PRESIDENT)
(609) 933-1270
Entity
Organization
Contact information
Practice address
11400 W OLYMPIC BLVD STE 200, LOS ANGELES, CA 90064
(609) 933-1270
Mailing address
1501 LINCOLN BLVD # 1232, VENICE, CA 90291-3503
(609) 933-1270
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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