| A Diop Family Care Medical Group Inc. | |
|
2704 W Manchester Blvd Inglewood CA 90305-2436 | |
| (323) 778-4310 | |
| (323) 778-0838 |
| Full Name | A Diop Family Care Medical Group Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2704 W Manchester Blvd, Inglewood, California |
| Authorized Official Name and Position | Abdoulaye Diop (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3237784310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Diop Family Care Medical Group Inc. 2704 W Manchester Blvd Inglewood CA 90305-2436 Ph: (323) 778-4310 | A Diop Family Care Medical Group Inc. 2704 W Manchester Blvd Inglewood CA 90305-2436 Ph: (323) 778-4310 |
| NPI Number | 1023145240 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3072555416 |
|---|---|
| Medicare Enrollment ID | O20050525001334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023145240 | NPI | - | NPPES |
| GR0091030 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | (California) | Primary |
| Provider Name | Abdoulaye Diop |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336154160 PECOS PAC ID: 7315989753 Enrollment ID: I20050526000845 |
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