NPI 1174073233

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Organisation Exclusive Provider Organization Los Angeles, CA

Practice location

Address: 2001 S Barrington Ave STE 316, Los Angeles, CA 90025-5379
Phone: (310) 473-2020

Authorised official

Name: Stephen Stiteler
Title: Doctor
Phone: (310) 473-2020

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in California →

Registry record

NPI: 1174073233
Entity type: Organization
NPI issued: 12 Oct 2016
Record last updated: 12 Oct 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.