Cheryl D. Bingham
Preferred Provider Organization in Los Angeles, CA. Organization (NPI-2).
NPI number1093037558
StatusActive
Last updated in NPPESFeb 24, 2010
Details
- NPI
- 1093037558
- Entity type
- Organization (NPI-2)
- Legal business name
- Cheryl D. Bingham
- Organization subpart
- No
- Enumeration date
- Feb 24, 2010
- Last updated
- Feb 24, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305R00000X | Preferred Provider Organization | 034818 | CA | Yes |
Practice location
11905 S Central Ave # 203Los Angeles, CA 90059-2836
Phone 323-564-7504 · Fax 323-564-8645
Mailing address
11905 S Central Ave # 203Los Angeles, CA 90059-2836
Phone 323-564-7504 · Fax 323-564-8645
Authorized official
Cheryl D Bingham
Owner
3235647504
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