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Reliant Immediate Care Medical Group, INC.

Physical Therapist in Los Angeles, CA. Organization (NPI-2).

NPI number1316635097
StatusActive
Last updated in NPPESMay 1, 2023

Details

NPI
1316635097
Entity type
Organization (NPI-2)
Legal business name
Reliant Immediate Care Medical Group, INC.
Organization subpart
No
Enumeration date
May 1, 2023
Certification date
Apr 29, 2023
Last updated
May 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

5901 W Century Blvd
Los Angeles, CA 90045-5411

Phone 310-215-6020 · Fax 310-491-7068

Mailing address

Po Box 80243
City Of Industry, CA 91716-8243

Phone 310-215-6020 · Fax 424-888-7648

Authorized official

Max Franklin Lebow
President
3102156020

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