EASTSIDE DIABETES CARE MEDICAL CLINIC, INC.
Ambulatory Health at Beverly Blvd, Los Angeles, CA

License number
California A33652
Category
Medical Practice
Type
Specialist
License number
California A33652
Category
Ambulatory Health
Type
Health Service
Owner
Name: MRS. ALTAGRACIA A RODRIGUEZ
Title: OFFICE MANAGER
Phone: (323) 726-0370
Address
Address
5836 E Beverly Blvd, Los Angeles, CA 90022
National Provider ID: 1841500253
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EASTSIDE DIABETES CARE MEDICAL CLINIC, INC

5836 E Beverly Blvd, Los Angeles, CA 90022

Registration:
Dec 10, 1984
State ID:
C1325965
Business type:
Articles of Incorporation
President:
Miguel Rodriguez (President)

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