Organization
LOS FELIZ ASSOCIATES MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMID NASSIM M.D. (PRESIDENT)
(323) 644-7440
Entity
Organization
Contact information
Practice address
3171 LOS FELIZ BLVD, SUITE 206, LOS ANGELES, CA 90039-1527
(323) 644-7440
(323) 644-7443
Mailing address
3171 LOS FELIZ BLVD, SUITE 206, LOS ANGELES, CA 90039-1527
(323) 644-7440
(323) 644-7443
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
A42975
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A42975
MEDICAL BOARD
CA
Enumeration date
08/08/2007
Last updated
06/09/2008
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