John B Simonds M.D., INC.
General Practice in Los Angeles, CA. Organization (NPI-2).
NPI number1861692600
StatusActive
Last updated in NPPESJul 19, 2007
Details
- NPI
- 1861692600
- Entity type
- Organization (NPI-2)
- Legal business name
- John B Simonds M.D., INC.
- Organization subpart
- No
- Enumeration date
- Jul 19, 2007
- Last updated
- Jul 19, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | G77483 | CA | Yes |
Practice location
231 W Vernon Ave204
Los Angeles, CA 90037-2700
Phone 323-521-1544 · Fax 323-521-1546
Mailing address
231 W Vernon Ave204
Los Angeles, CA 90037-2700
Phone 323-521-1544 · Fax 323-521-1546
Authorized official
John B Simonds
Owner /MD
3235211544
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