Clinica Leslie Medical Group
Restricted
Clinica Leslie Medical Group is subject to Restricted. See the individual lists below.
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Aliases
- Olaco, Julio Pangilinan
Address
13600 Marina Pointe Dr., Unit #1207, Marina Del Rey, CA
ID Details
ID NUMBER : GR0083331GR0083332GR0083333GR0083330
ID TYPE : provider_number
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Clinica Leslie Medical Group Sanctioned By Below Authority
List Name | List Authority | Effective Date ▼ | Status |
---|---|---|---|
| The California Department of Health Care Services | Oct 18, 2001 | active |
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