BODY PURIFICATION CENTER, INC
Managed Care Organizations at 6 St, San Pedro, CA

License number
California AC 10112
Category
Managed Care Organizations
Type
Health Maintenance Organization
License number
California CADC 28214
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: OLESIA FARBEROV L. AC., DIPL. O.M.
Title: LICENSED ACUPUNCTURIST
Phone: (310) 831-2202
Address
Address
150 W 6Th St SUITE 200, San Pedro, CA 90731
National Provider ID: 1912162264
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BODY PURIFICATION CENTER, INC

150 W 6 St STE 200, San Pedro, CA 90731

Status:
Inactive
Registration:
Mar 17, 2008
State ID:
C3079544
Agent:
Olesia Farberov,Los Angeles, CA 90066 (Physical)

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