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Organization

MVP MEDICAL PRACTICE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYLE HONIG MOJICA (CFO)
(323) 860-5305
Entity
Organization

Contact information

Practice address
475 ATLANTIC AVE STE 2, BROOKLYN, NY 11217-4383
(718) 369-4850
(718) 369-4851
Mailing address
6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422
(323) 498-6686

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
261Q00000X
Clinic/Center

Other

Enumeration date
11/01/2019
Last updated
04/10/2025
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