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Organization

NEW LIFE MALE MEDICAL CENTER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HOWARD LAZERSON MD (MEDICAL DIRECTOR)
(818) 937-9551
Entity
Organization

Contact information

Practice address
1577 E CHEVY CHASE DR STE 240, GLENDALE, CA 91206-4742
(818) 937-9551
(818) 484-2116
Mailing address
1577 E CHEVY CHASE DR STE 240, GLENDALE, CA 91206-4742
(818) 937-9551
(818) 484-2116

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
51964
CA

Other

Enumeration date
09/27/2017
Last updated
07/21/2022
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