Organization
MSBJ, INC.
Active
Other names
Deja Vu Medical
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA LYLE (GENERAL MANAGER)
(626) 574-0079
Entity
Organization
Contact information
Practice address
38 E HUNTINGTON DR STE B, ARCADIA, CA 91006-7048
(626) 574-0079
(626) 254-9412
Mailing address
38 E HUNTINGTON DR STE B, ARCADIA, CA 91006-7048
(626) 574-0079
(626) 254-9412
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2009
Last updated
09/10/2010
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