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Organization

OCCUPATIONAL HEALTH CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA NELSON (ACUPUNCTURIST)
(310) 645-9910
Entity
Organization

Contact information

Practice address
7342 W 83RD ST, LOS ANGELES, CA 90045-2452
(310) 645-9910
Mailing address
7342 W 83RD ST, LOS ANGELES, CA 90045-2452
(310) 645-9910

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
11776
CA

Other

Enumeration date
01/10/2009
Last updated
01/10/2009
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