Organization
THRIVE HEALTH IV CLINIC, P.C.
Active
Parent organization
THRIVE HEALTH IV CLINIC, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
THRIVE HEALTH IV CLINIC, P.C.
Authorized official
RAYMOND S DOUGLAS MD (PRESIDENT)
(310) 657-4302
Entity
Organization
Contact information
Practice address
366 SAN MIGUEL DR STE 206, NEWPORT BEACH, CA 92660-7810
(310) 636-8757
(310) 636-8758
Mailing address
9675 BRIGHTON WAY STE 410, BEVERLY HILLS, CA 90210-5192
(310) 636-8757
(310) 363-8758
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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