NPI 1073055570
Medical Support Los Angeles a Medical Corporation
Practice location
- Address
- 301 N Prairie Ave Suite #201, Inglewood, CA 90301-4507
- Phone
- (310) 674-4419
- Fax
- (310) 674-6689
- Mailing address
- 1294 E Colorado Blvd, Pasadena, CA 91106-1901
Authorised official
- Name
- Sahniah Siciarz-Lambert
- Title
- Cfo
- Phone
- (626) 407-2152
Registered specialties
Independent Medical Examiner Physician
Primary
Registry record
- NPI
- 1073055570
- Entity type
- Organization
- NPI issued
- 15 Nov 2016
- Record last updated
- 15 Nov 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.