institution
Saint Mary Pediatric Neurology Medical Clinic, Inc
Specialist in Los Angeles, California
NPI 1871677377

Saint Mary Pediatric Neurology Medical Clinic, Inc is a Specialist based in Los Angeles, CA. Saint Mary Pediatric Neurology Medical Clinic, Inc practices in Los Angeles, CA. The NPI Number for Saint Mary Pediatric Neurology Medical Clinic, Inc is 1871677377 and holds a License No. A83604 (California).

The current practice location address for Saint Mary Pediatric Neurology Medical Clinic, Inc is 6200 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 323-939-0008 and via fax at 323-939-0070.

Location: 6200 Wilshire Blvd, Los Angeles, CA, 90048-5801
institution
Provider Profile Details
NPI Number
1871677377
Provider Name
Saint Mary Pediatric Neurology Medical Clinic, Inc
Credential
Provider Entity Type
Organization
Address
6200 Wilshire Blvd, Los Angeles, CA, 90048-5801
Phone Number
323-939-0008
Fax Number
323-939-0070
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A836040 05 CA
institution
Provider Business Practice Location Address Details
Address
6200 Wilshire Blvd
City
State
Zip
90048-5801
Phone Number
323-939-0008
Fax Number
323-939-0070
person
Provider Business Mailing Address Details
Address
6200 Wilshire Blvd
City
State
Zip
90048-5801
Phone Number
323-939-0008
Fax Number
323-939-0070
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
A83604 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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