SEVILLA MEDICAL GROUP INC
Osteopathic Medicine in Los Angeles, CA

License number
California A63670
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: TOMAS SEVILLA MD
Title: OWNER
Phone: (323) 342-9764
Address
Address
2813 N BROADWAY, Los Angeles, CA 90031
National Provider ID: 1871757302
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SEVILLA MEDICAL GROUP INC

Los Angeles, CA

Registration:
Nov 28, 2005
Addresses:
Sevilla Medical Group Inc, Los Angeles, CA 90031 (Physical)
2813 N Broadway, Los Angeles, CA 90031
2929 N Broadway, Los Angeles, CA 90031
State ID:
C2811614
Business type:
Articles of Incorporation
President:
Tomas A. Sevilla (President)
Agent:
Bruce Miller,Sherman Oaks, CA 91403 (Physical)

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