Organization
COUNTY OF LOS ANGELES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MOLINA (DEPARTMENTAL OFFICIAL)
(323) 409-7995
Entity
Organization
Contact information
Practice address
1983 MARENGO ST RM B4H100, GI/LIVER DIVISION, DIAGNOSTIC AND TREATMENT BUILDING, LOS ANGELES, CA 90033-1370
(323) 409-7995
Mailing address
1983 MARENGO ST RM B4H100, GI/LIVER DIVISION, DIAGNOSTIC AND TREATMENT BUILDING, LOS ANGELES, CA 90033-1370
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
A121835
CA
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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