NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1801838198 |   |   |   | RELIANT IMMEDIATE CARE MEDICAL GROUP, INC. | 9601 S SEPULVEDA BLVD | LOS ANGELES | CA | 900455203 |
1114125846 | ARNUSH | MARC | E |   | 9601 S SEPULVEDA BLVD | LOS ANGELES | CA | 900455203 |
1235116039 | BALKIS | JOVANA |   |   | 13603 MARINA POINTE DR | MARINA DEL REY | CA | 902925583 |
1134234545 | HARPER | ROBERT | EDWARD |   | 1028 S JUANITA AVE | REDONDO BEACH | CA | 902774849 |
1033413265 | LADOUCEUR | AMOS | KELLY |   | 8701 W WATERTOWN PLANK RD | MILWAUKEE | WI | 532263548 |
1245276823 | SHAPIRO | ROBERT | HUGH |   | 8510 BALBOA BLVD | NORTHRIDGE | CA | 913255810 |