Organization
IMCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA PIR PH. D (CEO/EXECUTIVE DIRECTOR)
(213) 381-1250
Entity
Organization
Contact information
Practice address
3580 WILSHIRE BLVD, SUITE 2000, LOS ANGELES, CA 90010-2501
(213) 381-1250
Mailing address
3580 WILSHIRE BLVD, SUITE 2000, LOS ANGELES, CA 90010-2501
(213) 381-1250
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
CA
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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