Organization
BOSTON MEDICAL GROUP CALIFORNIA, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE LABARBERA M.D, (MEDICAL DIRECTOR)
(718) 981-4070
Entity
Organization
Contact information
Practice address
9911 W. PICO BLVD, SUITE 1215, LOS ANGELES, CA 90035
(310) 843-9125
(310) 843-9169
Mailing address
9911 W. PICO BLVD, SUITE 1215, LOS ANGELES, CA 90035
(310) 843-9125
(310) 843-9169
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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