Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2007-04-25
- Last updated
- 2010-08-03
Specialties
Licenses
- License CA
- A32700
Location
- Practice location
- 16453 COLORADO AVE
- City
- PARAMOUNT CA
- Postal code
- 907235011
- Phone
- 949-588-2190
Organization contact
- Name
- DEBORAH SIGMAN
- Title
- Manager
- Phone
- 9495882190
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.