Organization
ALLIED PRIMARY CARE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURICE MEHRBAN MD (PHYSICIAN)
(310) 592-5906
Entity
Organization
Contact information
Practice address
10481 SANTA MONICA BLVD, LOS ANGELES, CA 90025-5031
(310) 592-5906
(310) 868-2500
Mailing address
10481 SANTA MONICA BLVD, LOS ANGELES, CA 90025-5031
(310) 592-5906
(310) 868-2500
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A38224B
—
CA
Enumeration date
04/29/2021
Last updated
04/29/2021
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