PRIMARY CARE HEALTH CLINIC
Osteopathic Medicine at Washington Blvd, Los Angeles, CA

License number
California 34954
Category
Osteopathic Medicine
Type
Family Medicine
License number
California 34954
Category
Osteopathic Medicine
Type
Internal Medicine
License number
California 34954
Category
Medical Practice
Type
Obstetrics & Gynecology
License number
California 34954
Category
Medical Practice
Type
Gynecology
License number
California 34954
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: MR. NDIKA FOMUKONG NP
Title: CEO
Phone: (310) 701-6703
Address
Address
1601 W Washington Blvd, Los Angeles, CA 90007
National Provider ID: 1891134268
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PRIMARY CARE HEALTH CLINIC at bizstanding.com

Primary Care Health Clinic

1601 W Washington Blvd, Los Angeles, CA 90007

Industry:
Health/Allied Services

Primary Care Health Clinic

2355 Westwood Blvd, Los Angeles, CA 90064

Registration:
Jul 9, 2013
State ID:
03585944
Business type:
Articles of Incorporation
Agent:
Ndika Fomukong

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