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General NPI Number Information
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NPI Number | 1659552289
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Entity Type | Organization
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Legal Business Name | INFINITY CARE OF EAST LA
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Dates
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Enumeration Date | 11/26/2007
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 101 S FICKETT ST
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City | LOS ANGELES
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State | CA
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Zip | 90033-4017
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Country | US
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Telephone | 323-262-8108
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Fax | 323-261-3548
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Provider Business Mailing Address
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Address Line | 101 S FICKETT ST
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City | LOS ANGELES
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State | CA
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Zip | 90033-4017
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Country | US
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Telephone | 323-262-8108
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Fax | 323-261-3548
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. RANI MAGBOO
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Credential |
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Telephone | 323-261-8108
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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 | 970000035
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License Number State | CA
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