| Owc Medical Corporation | |
|
8820 Wilshire Blvd Suite 110 Beverly Hills CA 90211-2620 | |
| (424) 204-9001 | |
| Not Available |
| Full Name | Owc Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 8820 Wilshire Blvd, Beverly Hills, California |
| Authorized Official Name and Position | Daniel D Coleman (VICE- PRESIDENT) |
| Authorized Official Contact | 8182614208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owc Medical Corporation 16030 Ventura Blvd Suite 240 Encino CA 91436-2731 Ph: (818) 261-4208 | Owc Medical Corporation 8820 Wilshire Blvd Suite 110 Beverly Hills CA 90211-2620 Ph: (424) 204-9001 |
| NPI Number | 1104216308 |
|---|---|
| Provider Enumeration Date | 01/27/2015 |
| Last Update Date | 01/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104216308 | NPI | - | NPPES |
| G77858 | Other | CA | CALIFORNIA MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G77858 (California) | Primary |
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