Organization
IV FOR LIFE
Active
Organization
IV FOR LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOGDAN POPA MD (OWNER)
(510) 290-9668
Entity
Organization
Contact information
Practice address
1211 W LA PALMA AVE, SUITE 309, ANAHEIM, CA 92801-2815
(510) 290-9668
(714) 908-7953
Mailing address
2973 HARBOR BLVD, BOX 322, COSTA MESA, CA 92626-3912
(510) 290-9668
(714) 908-7953
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
A60996
CA
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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