| Innovative Medicine | |
|
811 Wilshire Blvd Suite 110 Los Angeles CA 90017-2606 | |
| (213) 415-1990 | |
| (213) 415-1940 |
| Full Name | Innovative Medicine |
|---|---|
| Speciality | Physical Therapist |
| Location | 811 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Tsz Ying Lee (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2314151990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Medicine 811 Wilshire Blvd Suite 110 Los Angeles CA 90017-2606 Ph: (213) 415-1990 | Innovative Medicine 811 Wilshire Blvd Suite 110 Los Angeles CA 90017-2606 Ph: (213) 415-1990 |
| NPI Number | 1821494014 |
|---|---|
| Provider Enumeration Date | 11/14/2014 |
| Last Update Date | 11/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821494014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A99205 (California) | Secondary |
| 225100000X | Physical Therapist | PT40619 (California) | Primary |
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