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Organization

OTOSURGICAL GROUP MEDICAL CLINIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ALMA R. ORDAZ (PRACTICE ADMINISTRATOR)
(310) 201-0728
Entity
Organization

Contact information

Practice address
2080 CENTURY PARK E, SUITE 1700, LOS ANGELES, CA 90067-2001
(310) 201-0728
(310) 201-9665
Mailing address
2080 CENTURY PARK E, SUITE 1700, LOS ANGELES, CA 90067-2001
(310) 201-0728
(310) 201-9665

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
09/13/2006
Last updated
08/22/2020
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