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Organization

CITIZENS MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY BRANDIS (DOCTOR)
(310) 477-8285
Entity
Organization

Contact information

Practice address
11560 W. PICO BLVD, WEST LOS ANGELES, CA 90064
(310) 477-8285
(310) 477-9642
Mailing address
11560 W. PICO BLVD, WEST LOS ANGELES, CA 90064
(310) 477-8285
(310) 477-9642

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G29636
CA

Other

Enumeration date
04/16/2008
Last updated
04/16/2008
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