Anphon Medical Center | |
333 E Nutwood St Suite C Inglewood CA 90301-2354 | |
(562) 708-6727 | |
Not Available |
Full Name | Anphon Medical Center |
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Speciality | Clinic/Center |
Location | 333 E Nutwood St, Inglewood, California |
Authorized Official Name and Position | Rebekah Jennings (ADMINISTRATOR) |
Authorized Official Contact | 5627086727 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Anphon Medical Center 333 E Nutwood St Suite C Inglewood CA 90301-2354 Ph: (562) 708-6727 | Anphon Medical Center 333 E Nutwood St Suite C Inglewood CA 90301-2354 Ph: (562) 708-6727 |
NPI Number | 1801202676 |
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Provider Enumeration Date | 07/01/2014 |
Last Update Date | 07/01/2014 |
Medicare PECOS PAC ID | 2062798556 |
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Medicare Enrollment ID | O20170418001336 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801202676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Provider Name | Mohamad B Kadri |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538192166 PECOS PAC ID: 2567419708 Enrollment ID: I20050520000823 |
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