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Organization

AGAPE MEDICAL GROUP WEST PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BAILEY RENGER (OPERATIONS ADMINISTRATOR)
(877) 894-5415
Entity
Organization

Contact information

Practice address
8550 SANTA MONICA BLVD FL 2, WEST HOLLYWOOD, CA 90069-4496
(877) 894-5415
Mailing address
1301 N BROADWAY # 32260, LOS ANGELES, CA 90012-1408

Taxonomy

Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary

Other

Enumeration date
11/03/2025
Last updated
11/03/2025
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