Ad Medical Corporation
Internal Medicine in Pacific Palisades, CA. Organization (NPI-2).
NPI number1669928560
StatusActive
Last updated in NPPESAug 31, 2016
Details
- NPI
- 1669928560
- Entity type
- Organization (NPI-2)
- Legal business name
- Ad Medical Corporation
- Organization subpart
- No
- Enumeration date
- Aug 30, 2016
- Last updated
- Aug 31, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
528 Palisades Dr # 175Pacific Palisades, CA 90272-2844
Phone 818-585-5678
Mailing address
528 Palisades Dr # 175Pacific Palisades, CA 90272-2844
Authorized official
Renee Dua
President
8185855678
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