| Vistiting Physicians Associates LLC | |
|
5455 Wilshire Blvd Suite 1002 Los Angeles CA 90036-4201 | |
| (347) 247-0300 | |
| Not Available |
| Full Name | Vistiting Physicians Associates LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 5455 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Boules Salib (OWNER) |
| Authorized Official Contact | 3472470300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vistiting Physicians Associates LLC 5455 Wilshire Blvd Suite 1002 Los Angeles CA 90036-4201 | Vistiting Physicians Associates LLC 5455 Wilshire Blvd Suite 1002 Los Angeles CA 90036-4201 Ph: (347) 247-0300 |
| NPI Number | 1285979831 |
|---|---|
| Provider Enumeration Date | 12/09/2012 |
| Last Update Date | 09/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285979831 | NPI | - | NPPES |
| 125934 | Other | CA | CALIFORNIA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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