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General NPI Number Information
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NPI Number | 1104817071
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Entity Type | Organization
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Legal Business Name | ALLELO & ASSOCIATES
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 26303 WESTERN AVE
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City | LOMITA
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State | CA
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Zip | 90717-3521
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Country | US
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Telephone | 310-784-5440
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Fax | 310-784-5448
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Provider Business Mailing Address
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Address Line | 9808 VENICE BLVD SUITE 706
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City | CULVER CITY
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State | CA
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Zip | 90232-2732
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Country | US
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Telephone | 310-994-8804
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Fax | 310-839-1247
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Authorized Official
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Title or Position | MANAGER
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Name | MR. HILARION DIMAYUGA
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Credential |
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Telephone | 310-784-5440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | LTC55028F
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License Number State | CA
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