Organization
LAVS ACCESS CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE M REYES (ADMINISTRATOR)
(209) 791-3120
Entity
Organization
Contact information
Practice address
620 W BEVERLY BLVD STE B, MONTEBELLO, CA 90640-3624
(209) 791-3120
Mailing address
620 W BEVERLY BLVD STE B, MONTEBELLO, CA 90640-3624
(209) 791-3120
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A70962
CA
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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