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Organization

UPP FOR HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW LEFFERMAN DO (PRESIDENT)
(310) 739-3004
Entity
Organization

Contact information

Practice address
12304 SANTA MONICA BLVD, LOS ANGELES, CA 90025-2551
(424) 281-3004
Mailing address
12304 SANTA MONICA BLVD, LOS ANGELES, CA 90025-2551
(424) 281-3004

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
09/27/2019
Last updated
09/27/2019
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