SAMUEL K WIRTSCHAFTER MD INC
Osteopathic Medicine at 6 St, San Pedro, CA

License number
California A181060
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: SAMUEL K WIRTSCHAFTER MD
Title: PRESIDENT
Phone: (310) 832-4517
Address
Address
1360 W 6Th St SUITE 315N, San Pedro, CA 90732
National Provider ID: 1598982175
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SAMUEL K. WIRTSCHAFTER, M.D., INC

1360 W 6 St #315, San Pedro, CA 90732

Status:
Inactive
Industry:
Internist
Registration:
Apr 29, 1975
State ID:
C0743387
Business type:
Articles of Incorporation
President:
Samuel K. Wirtschafter President, inactive
Agent:
Samuel K Wirtschafter,San Pedro, CA 90732 (Physical)

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