Organization
BIMINI PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRYL E WASH (OWNER)
(646) 831-8798
Entity
Organization
Contact information
Practice address
3127 CORINTH AVE, LOS ANGELES, CA 90066-1403
(646) 831-8798
Mailing address
3127 CORINTH AVE, LOS ANGELES, CA 90066-1403
(646) 831-8798
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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