Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2005-12-06
- Last updated
- 2020-08-22
Licenses
- License CA
- 103763
Location
- Practice location
- 17817 CLARK AVE
- City
- BELLFLOWER CA
- Postal code
- 907066504
- Phone
- 562-920-3400
Organization contact
- Name
- SYLVESTER ANI
- Title
- PRESIDENT/CEO
- Phone
- 5629203400
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Removal request
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