Organization
CITY OF ANGELS DERMATOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAVIS BILLIPS MD (DIRECTOR)
(310) 651-8240
Entity
Organization
Contact information
Practice address
2888 LONG BEACH BLVD STE 325, LONG BEACH, CA 90806-7503
(562) 366-0300
(562) 366-7525
Mailing address
4712 ADMIRALTY WAY # 665, MARINA DEL REY, CA 90292-6905
(562) 366-0300
(562) 366-7525
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLM 000346987
CA
Other
Enumeration date
12/20/2014
Last updated
12/20/2014
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