Organization
TRI-STAR MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L LEE NELSON MD (PRESIDENT)
(818) 483-4717
Entity
Organization
Contact information
Practice address
6817 1/2 KESTER AVE, VAN NUYS, CA 91405-3716
(818) 483-4717
Mailing address
6817 1/2 KESTER AVE, VAN NUYS, CA 91405-3716
(818) 483-4717
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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