Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2023-11-07
- Last updated
- 2023-12-07
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 5800 S EASTERN AVE, STE 500
- City
- COMMERCE CA
- Postal code
- 900404033
- Phone
- 760-694-3587
Organization contact
- Name
- BLANCA CARDENAS
- Title
- CEO
- Phone
- 7604035290
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.