Organization
VERMONT WORKERS COMP CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMAD A EL ASMAR M.D. (PRESIDENT)
(323) 660-5624
Entity
Organization
Contact information
Practice address
1234 N VERMONT AVE, LOS ANGELES, CA 90029-1704
(323) 660-5624
(323) 389-9128
Mailing address
1234 N VERMONT AVE, LOS ANGELES, CA 90029-1704
(323) 660-5624
(323) 389-9128
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
A61923
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A619230
—
CA
Enumeration date
12/21/2012
Last updated
11/07/2013
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