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General NPI Number Information
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NPI Number | 1386064350
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Entity Type | Organization
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Legal Business Name | ARTHRITIS ASSOCIATES OF SOUTHERN CALIFORNIA
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Dates
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Enumeration Date | 04/17/2014
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Last Update Date | 08/21/2017
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Provider Practice Location Address
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Address Line | 5230 PACIFIC CONCOURSE DR SUITE 100
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City | LOS ANGELES
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State | CA
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Zip | 90045-6200
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Country | US
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Telephone | 310-536-0460
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Fax | 310-536-0464
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Provider Business Mailing Address
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Address Line | 5230 PACIFIC CONCOURSE DR SUITE 100
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City | LOS ANGELES
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State | CA
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Zip | 90045-6200
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Country | US
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Telephone | 310-536-0460
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Fax | 310-536-0464
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Authorized Official
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Title or Position | CEO
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Name | JAMES A JENKINS
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Credential | PHD
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Telephone | 310-297-9229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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