ProviderBusinessMailingAddressFaxNumber = '3103999678'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1184179525 | | | | AMERICAN HEALTH SERVICES | 717 LINCOLN BLVD | VENICE | CA | 902912845 |
| 1477275527 | COMPTON | GWANESHIA | S | | 717 LINCOLN BLVD | VENICE | CA | 902912845 |
| 1780266320 | DE LOERA | JENNY | | | 717 LINCOLN BLVD | VENICE | CA | 902912845 |
| 1588016489 | DELACRUZ | CESIA | | | 717 LINCOLN BLVD | VENICE | CA | 902912845 |
| 1093360331 | KELLAR | SANDRA | DIANE | | 717 LINCOLN BLVD | VENICE | CA | 902912845 |
| 1689067894 | PERRYMAN | STAN | CARL | | 717 LINCOLN BLVD | VENICE | CA | 902912845 |
| 1003218660 | RIVAS | PATRICIA | GUADALUPE | | 5527 ROMAINE ST APT 4 | LOS ANGELES | CA | 900383273 |
| 1215405816 | RUDEGEAIR | JOHN | EDWARD | | 717 LINCOLN BLVD | VENICE | CA | 902912845 |
| 1851774913 | TAYLOR | WADE | | | 717 LINCOLN BLVD | VENICE | CA | 902912845 |
| 1255580676 | ZURIC | MARCIA | DEESHAI | | 717 LINCOLN BLVD | VENICE | CA | 90291 |
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