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Organization

PMED3

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVE S. SOMMER MD, PHD (PRESIDENT/MEDICAL DIRECTOR)
(626) 804-3645
Entity
Organization

Contact information

Practice address
426 N SAN GABRIEL AVE, AZUSA, CA 91702-3451
(626) 804-3645
(626) 804-3648
Mailing address
PO BOX 1329, AZUSA, CA 91702-1329
(626) 804-3645
(626) 804-3648

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
08/02/2017
Last updated
07/21/2022
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