Ambrose Hills Wellness Pc

LBN: Ambrose Hills Wellness Pc
Ambrose Hills Wellness Pc is an health care organization with primary practice located at 4448 Ambrose Ave , Los Angeles CA 90027-2115. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Ambrose Hills Wellness Pc can be contacted via phone (323) 644-1998, or through Stefanovic, Milica via phone (323) 644-1998.

Contact Information

Primary practice address
4448 Ambrose Ave Los Angeles CA 90027-2115
Phone: (323) 644-1998
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stefanovic, Milica Doctor of Medicine (MD)
Phone: (323) 644-1998

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1538541743
LBN Legal business name Ambrose Hills Wellness Pc
DBA Doing business as
Authorized official Stefanovic, Milica Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2015
Last updated Nov 23rd, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538541743 NPPES
California Other FNP544593 FICTITIOUS NAME PERMIT

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