INDRAVADAN A DAVE MD INC
Osteopathic Medicine at Rampart Blvd, Los Angeles, CA

License number
California C41876
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: DR. INDRAVADAN A DAVE M.D.
Title: OWNER PRES
Phone: (213) 389-5570
Address
Address
274 S Rampart Blvd, Los Angeles, CA 90057
National Provider ID: 1609916048
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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INDRAVADAN A. DAVE MD INC

274 S Rampart Blvd, Los Angeles, CA 90057

Status:
Inactive
Registration:
Dec 29, 2006
State ID:
C2961277
Business type:
Articles of Incorporation
President:
Indravadan A. Dave President, inactive
Agent:
Indravadan A Dave,Los Angeles, CA 90057 (Physical)

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