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Organization

RAUL ARTURO PARDAVE, MD, A MEDICAL CORPORATION

Active
Parent organization
RAUL ARTURO PARDAVE, MD, A MEDICAL CORPORATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
RAUL ARTURO PARDAVE, MD, A MEDICAL CORPORATION
Authorized official
DR. RAUL A. PARDAVE MD (PRESIDENT)
(818) 545-7418
Entity
Organization

Contact information

Practice address
1530 E CHEVY CHASE DR, SUITE 207, GLENDALE, CA 91206-4163
(818) 545-7418
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
05/21/2012
Last updated
01/02/2013
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