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NPI 1962087072

NPI 1962087072 : UNIVERSAL HEALING CENTER A PROFESSIONAL CORPORATION : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1962087072
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNIVERSAL HEALING CENTER A PROFESSIONAL CORPORATION 
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Dates
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    Enumeration Date     |    03/10/2021
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    Last Update Date     |    09/02/2022
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Provider Practice Location Address
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    Address Line         |    6320 COMMODORE SLOAT DR 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90048-5453
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    Country              |    US
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    Telephone            |    94-275-6019
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6320 COMMODORE SLOAT DR 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90048-5453
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MEDICAL DIRECTOR
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    Name                 |    DR. ADAM  SILVER 
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    Credential           |    D.O.
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    Telephone            |    424-274-2632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM1300X
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    Taxonomy Name        |    Multi-Specialty Clinic/Center
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    License Number       |    
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    License Number State |    
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