Organization
CALIGENIX PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUNNA POURANG MD (MEDICAL DIRECTOR)
(424) 265-9355
Entity
Organization
Contact information
Practice address
11611 SAN VICENTE BLVD, STE L1, LOS ANGELES, CA 90049-5106
(310) 273-3888
Mailing address
11611 SAN VICENTE BLVD, STE L1, LOS ANGELES, CA 90049-5106
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A133046
CA
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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