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Hollywood Fountain Medical Group

Debarred entity
TypeCompany[sources]
NameHollywood Fountain Medical Group[sources]
Incorporation datenot available[sources]
Jurisdictionnot available[sources]
CountryUnited States of America[sources]
Registration number00C188270 · GR0012150 · GR0019100[sources]
SectorPhysician Group[sources]
Address6234 Fountain Ave., Los Angeles, CA[sources]
Last changeLast processedFirst seen

Relationships

Data sources

US California Medicaid Suspended and ineligible providers23,292

Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.

United States of America · DHCS


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