JUAN C FRISANCHO MD INC
Medical Practice in San Pedro, CA

License number
California A68291
Category
Medical Practice
Type
Orthopaedic Surgery
Owner
Name: DR. JUAN CARLOS FRISANCHO M.D.
Title: PRESIDENT AND OWNER
Phone: (310) 463-6739
Address
Address 2
1360 NORTH Building SUITE 305, San Pedro, CA 90732
420 Avenida De Jose, Redondo Beach, CA 90277
National Provider ID: 1205154010
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JUAN C. FRISANCHO, M.D., INC

Redondo Beach, CA  -  Lawndale, CA

Registration:
Apr 24, 2006
Addresses:
15901 Hawthorne Blvd SUITE 250, Redondo Beach, CA 90277 (Physical)
15901 Hawthorne Blvd, Lawndale, CA 90260
105 N Broadway, Redondo Beach, CA 90277
State ID:
C2872890
Business type:
Articles of Incorporation
President:
Juan Carlos Frisancho (President)
Agent:
Juan C Frisancho,Lawndale, CA 90260 (Physical)

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