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NPI Provider: 1487659116
Contact Name: Torkan LYNN Bruce
Position: Medical Director
Phone: (213) 384-0604
Fatima Medical Clinic, Medical Group Information:
Fatima Medical Clinic, Medical Group organization have npi 1487659116, taxonomy code is 208D00000X with license number is A40561 in . This Business address located in PO Box 57399, Los Angeles, CA 90057 California. Get directions of Fatima Medical Clinic, Medical Group.
Practice Location
Address: 820A S Alvarado St, Los Angeles, CA 90057
Phone: (213) 384-0604
Business Location
Address: PO Box 57399, Los Angeles, CA 90057
Phone: (213) 384-0604
Fax: (213) 384-7125
Taxonomy
Taxonomy Code: 208D00000X
License Number: A40561
License Number of State: CA
Primary Taxonomy Switch: Y
Enumeration Date: 6/17/2005
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