| |
14623 Hawthorne Blvd, Suite 406, Lawndale, CA 90260-1581 | |
(877) 204-5682 | |
(310) 356-7910 |
Full Name | |
---|---|
Type | Facility |
Speciality | Legal Medicine |
Location | 14623 Hawthorne Blvd, Lawndale, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487105953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NX0800X | Chiropractor - Orthopedic | (California) | Secondary |
173000000X | Legal Medicine | (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
14623 Hawthorne Blvd, Suite 406, Lawndale, CA 90260-1581 Ph: (877) 204-5682 | 14623 Hawthorne Blvd, Suite 406, Lawndale, CA 90260-1581 Ph: (877) 204-5682 |