ESTIANDAN'S MEDICAL GROUP, INC.
Psychiatric at Beverly Blvd, Los Angeles, CA

License number
California A38326
Category
Osteopathic Medicine
Type
Family Medicine
License number
California A38326
Category
Osteopathic Medicine
Type
Internal Medicine
License number
California A38326
Category
Psychiatric
Type
Pain Medicine
Owner
Name: DR. CARLOS P. ESTIANDAN M.D.
Title: PRESIDENT
Phone: (213) 483-7315
Address
Address
2115 Beverly Blvd SUITE 100, Los Angeles, CA 90057
National Provider ID: 1457440497
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ESTIANDAN'S MEDICAL GROUP, INC. at bizstanding.com

ESTIANDAN'S MEDICAL GROUP, INC

Los Angeles, CA

Status:
Inactive
Registration:
Aug 4, 1997
Addresses:
4864 Sta Monica Blvd, Los Angeles, CA 90029 (Physical)
4864 Santa Monica Blvd, Los Angeles, CA 90029
State ID:
C1936235
Business type:
Articles of Incorporation
President:
Carlos P. Estiandan President, inactive
Agent:
John Estiandan,Los Angeles, CA 90029 (Physical)

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