Organization directory

<UNAVAIL> fax numbers

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12021 SOUTH WILMINGTON AVE., BLDG #18, STE 101, LOS ANGELES, CA, 90059-3046
Total destinations 1 Across general numbers and departments
NPI registry record

Provider & location details

Registered organization
<UNAVAIL>
NPI number
1104568526
Practice address
12021 SOUTH WILMINGTON AVE., BLDG #18, STE 101, LOS ANGELES, CA, 90059-3046
Telephone
(424) 454-6001
Provider specialty
See registry classification 324500000X — code meaning
Imported into directory
Oct 31, 2026

The provider supplied these details to the public NPPES registry. The import date records when TidyFax obtained the record; it is not a confirmation that the fax line works. A specialty identifies the provider's classification, not the department accepting documents.

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Organization contacts

Fax contacts and departments

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Provider listed

Practice location fax

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(833) 969-0055
NPI 1104568526

12021 SOUTH WILMINGTON AVE., BLDG #18, STE 101, LOS ANGELES, CA, 90059-3046

Listed by the healthcare provider in a public registry. Confirm the current fax number and destination before sending.

Practice location fax reported by the provider to NPPES

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Open source