SOUTH PACIFIC MEDICAL ASSOCIATES INC
Ambulatory Health at Ventura Blvd, Van Nuys, CA

License number
California 90472196
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: KRISTINA KUTSINA
Title: MANAGER
Phone: (818) 990-9080
Address
Address
16311 Ventura Blvd, Van Nuys, CA 91436
National Provider ID: 1265629810
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SOUTH PACIFIC MEDICAL ASSOCIATES INC

Glendale, CA  -  Van Nuys, CA

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Oct 2, 1998
Phone:
(818) 990-9080 (Phone)
Addresses:
210 N Central Ave STE 100, Glendale, CA 91203 (Physical)
16311 Ventura Blvd, Van Nuys, CA 91436
State ID:
C2094478
Business type:
Articles of Incorporation
Presidents:
Kamran Delparastan President, inactive,Simin Hashemizadeh President, inactive
Agent:
Krikor Manankichian,Glendale, CA 91203 (Physical)

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