WEST LA MS INC.
Ambulatory Health at Wilshire Blvd, Los Angeles, CA

License number
California A89541
Category
Osteopathic Medicine
Type
Internal Medicine
License number
California A89541
Category
Ambulatory Health
Type
Health Service
Owner
Name: DR. DAVID P MELAMED M.D.
Title: PRESIDENT
Phone: (310) 473-1734
Address
Address
11860 Wilshire Blvd SUITE 201, Los Angeles, CA 90025
National Provider ID: 1871732149
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WEST LA MS INC

Los Angeles, CA

Industry:
Medical Doctor's Office, Nonclassifiable Establishments
Registration:
Jul 26, 2005
Addresses:
11111 W Olympic Blvd SUITE 401 SOUTH, Los Angeles, CA 90064 (Physical)
11860 Wilshire Blvd, Los Angeles, CA 90025
State ID:
C2759256
Business type:
Statement & Designation By Foreign Corporation
Entity State:
DE
President:
David P. Melamed (President)
Agent:
David Melamed,Los Angeles, CA 90064 (Physical)

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