Organization
PACIFIC LYONS CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHRISTINA MINH DUC NGUYEN ADMIN (OFFICER)
(714) 232-5422
Entity
Organization
Contact information
Practice address
8704 SANTA MONICA BLVD, SUTIE 300, SANTA MONICA BLVD, CA 90069
(657) 294-5087
Mailing address
8704 SANTA MONICA BLVD, SUITE 300, WEST HOLLYWOOD, CA 90069-4555
(657) 294-5087
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
C3797933
CA
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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