CITY OF ANGELS DERMATOLOGY INC
Medical Laboratory at Long Beach Blvd, Long Beach, CA

License number
California CLM 000346987
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: DR. MAVIS BILLIPS MD
Title: DIRECTOR
Phone: (310) 651-8240
Address
Address 2
2888 Long Beach Blvd STE 325, Long Beach, CA 90806
4712 Admiralty Way #665, Venice, CA 90292
National Provider ID: 1710385901
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CITY OF ANGELS DERMATOLOGY, INC

4712 Admiralty Way #665, Marina del Rey, CA 90292

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Jan 26, 2005
State ID:
C2697976
Business type:
Articles of Incorporation
President:
Mavis W. Billips President, inactive
Agent:
Business Filings Incorporated,Sacramento, CA 95814 (Physical)

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