Organization
MEDI CURE HEALTH SERVICES, INC
Active
Parent organization
MEDI CURE HEALTH SERVICES, INC.
Other names
Public Health Foundation Enterprises, Inc. (Aztecs Rising)
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDI CURE HEALTH SERVICES, INC.
Authorized official
DR. JOSEPHINE C. KANNIKE-MARTINS PHD., RD (CEO/EXECUTIVE DIRECTOR)
(323) 295-1136
Entity
Organization
Contact information
Practice address
3516 N BROADWAY, LOS ANGELES, CA 90031-2833
(323) 295-1136
(323) 295-1071
Mailing address
3756 SANTA ROSALIA DR STE 417, LOS ANGELES, CA 90008-3614
(323) 295-1136
(323) 295-1071
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
190636AN
CA
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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