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Organization

ADVANCE HEALTH INTEGRATIVE MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RASHEL JOHN TAHZIB D.O (PRESIDENT AND MEDICAL DIRECTOR)
(310) 779-9537
Entity
Organization

Contact information

Practice address
11633 SAN VICENTE BLVD # 107, LOS ANGELES, CA 90049-6511
(310) 779-9537
Mailing address
11633 SAN VICENTE BLVD # 107, LOS ANGELES, CA 90049-6511
(310) 779-9537

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
20A9090
CA

Other

Enumeration date
06/22/2010
Last updated
06/22/2010
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