Organization
PANACEA MEDICAL CORPORATION
Active
Organization
PANACEA MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA PURDY M.D. (PRESIDENT)
(615) 393-2703
Entity
Organization
Contact information
Practice address
840 APOLLO ST STE 100, EL SEGUNDO, CA 90245-4641
(615) 393-2703
Mailing address
1100 GLENDON AVE FL 14, LOS ANGELES, CA 90024-3518
(310) 203-2809
(310) 203-2727
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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