Drmc-Western Omm Clinic of Downey LLC

NPI #1215109095 in Downey, California

Provider Information

NPI Number: 1215109095
Entity Type: Organization
Organization Name: Drmc-Western Omm Clinic of Downey LLC
Subpart: Yes (part of a larger organization)
Parent Organization: DCH HEALTH SERVICES
Primary Specialty: Clinic/Center
Enumeration Date: Apr 1, 2008
Last Updated: Jun 24, 2008

Practice Location

Address: 11411 BROOKSHIRE AVENUE
Address 2: SUITE #304
City: Downey
State: California
ZIP Code: 90241
Phone: (562) 904-5187

Authorized Official

Name: MR. ROBERT E. FULLER
Title: CHIEF OPERATING OFFICER
Phone: (562) 904-5187

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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