Organization
LEW, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGIN MOOGEEN LEW M. D. (PRESIDENT)
71452631198
Entity
Organization
Contact information
Practice address
960 HONEYWOOD LN, LA HABRA, CA 90631-6921
(714) 516-3118
Mailing address
960 HONEYWOOD LN, LA HABRA, CA 90631-6921
(714) 516-3118
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
A22445
CA
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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