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Organization

JUSTIN PHILLIPS MD, A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUSTIN R PHILLIPS MD (PRESIDENT)
(626) 710-3810
Entity
Organization

Contact information

Practice address
1107 FAIR OAKS AVE, UNIT 465, SOUTH PASADENA, CA 91030-3311
(626) 710-3810
(626) 270-4410
Mailing address
1107 FAIR OAKS AVE, UNIT 465, SOUTH PASADENA, CA 91030-3311
(626) 710-3810
(626) 270-4410

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A86090
CA

Other

Enumeration date
05/01/2017
Last updated
05/01/2017
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