Organization
PLAYA MEDICAL MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS HAPPER NP (ADMINISTRATOR)
(310) 305-9200
Entity
Organization
Contact information
Practice address
5450 LINCOLN BLVD, PLAYA VISTA, CA 90094-2002
(310) 305-9200
(310) 305-2800
Mailing address
4712 ADMIRALTY WAY, MARINA DEL REY, CA 90292-6905
(310) 305-9200
(310) 305-2800
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
A66385
CA
405300000X
Prevention Professional
E4361
CA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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