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Clinic/Center
NPI: 1003231168Organization
Specialties, Licenses & Credentials
Clinic/CenterPrimary
Clinic/Center
Code: 261Q00000X
AC 15423(CA)
Contact & Hours
- Address
- 7800 COMMONWEALTH AVE STE 203
BUENA PARK, CA 90621 - Phone
- (913) 638-4079
Quick Facts
- NPI
- 1003231168
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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