Organization
HIGH-TEC MULTISPECIALTY MEDICAL GROUP
Active
Other names
Centro High-Tec De Especialidades Multiples
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH AVALOS (OFFICE MANAGER)
(323) 209-1177
Entity
Organization
Contact information
Practice address
5301 WHITTIER BLVD FL 4, LOS ANGELES, CA 90022-4043
(310) 289-8678
(323) 978-5163
Mailing address
6310 SAN VICENTE BLVD STE 101, LOS ANGELES, CA 90048-5498
(310) 289-8678
(323) 978-5163
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C3769329
CA
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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