ROBERT A. AUDELL, M.D.,MEDICAL CORPORATION
Ambulatory Health at Wilshire Blvd, Beverly Hills, CA

License number
California G047826
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: PHYLLIS WODIN
Title: OFFICE MANAGER
Phone: (310) 432-1401
Address
Address
8670 Wilshire Blvd STE 202, Beverly Hills, CA 90211
National Provider ID: 1487820601
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ROBERT A. AUDELL, M.D., MEDICAL CORPORATION

Beverly Hills, CA

Status:
Inactive
Registration:
Dec 13, 1991
Addresses:
700 Trenton Dr, Beverly Hills, CA 90210 (Physical)
8670 Wilshire Blvd, Beverly Hills, CA 90211
State ID:
C1804668
Business type:
Articles of Incorporation
President:
Robert A. Audell President, inactive
Agent:
Robert A Audell,Beverly Hills, CA 90210 (Physical)

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