CLINICAL IMMUNOLOGY AND IGE MEDICAL INC.
Osteopathic Medicine at Wilshire Blvd, Los Angeles, CA

License number
California G70424
Category
Osteopathic Medicine
Type
Allergy & Immunology
Owner
Name: DR. CATHY WEISS GREEN M.D.
Title: OWNER
Phone: (310) 828-7978
Address
Address
11645 Wilshire Blvd SUITE 1150, Los Angeles, CA 90025
National Provider ID: 1114190584
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CLINICAL IMMUNOLOGY AND IGE MEDICAL, INC

Los Angeles, CA  -  Beverly Hills, CA

Industry:
Medical Doctor's Office, Health/Allied Services
Registration:
Jun 29, 2004
Addresses:
11645 Wilshire Blvd STE 1150, Los Angeles, CA 90025 (Physical)
4435 Palm Dr, Beverly Hills, CA 90212
443 S Palm Dr, Beverly Hills, CA 90212
State ID:
C2661491
Business type:
Articles of Incorporation
President, Principal:
Cathy Weiss Green (President, Principal)
Agent:
Cathy Weiss-Green,Valencia, CA 91355 (Physical)

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