Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2008-12-30
- Last updated
- 2009-10-22
Licenses
- License CA
- 489288
Location
- Practice location
- 7922 ROSECRANS AVE, STE P2
- City
- PARAMOUNT CA
- Postal code
- 907236009
- Phone
- 562-630-5700
Organization contact
- Name
- WILLIAM FOBI
- Title
- President
- Phone
- 3237318414
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.