Organization
PHABULOUS CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHABILLIA AFFLACK M.D (PRESIDENT)
(347) 585-4987
Entity
Organization
Contact information
Practice address
1719 LAS PALMITAS ST, SOUTH PASADENA, CA 91030-3530
(323) 283-9877
Mailing address
1719 LAS PALMITAS ST, SOUTH PASADENA, CA 91030-3530
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C55443
CA
Other
Enumeration date
05/02/2015
Last updated
05/02/2015
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