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Individual

CAROL OW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1245 WILSHIRE BLVD STE 530, LOS ANGELES, CA 90017-5733
(213) 977-4156
Mailing address
544 N GLENDALE AVE, GLENDALE, CA 91206-3311
(818) 241-4331

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95006215
CA

Other

Enumeration date
03/27/2017
Last updated
11/26/2023
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