Axminster Medical Group Inc. | |
12618 Hawthorne Blvd. Hawthorne CA 90250-2325 | |
(310) 263-5700 | |
Not Available |
Full Name | Axminster Medical Group Inc. |
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Speciality | Internal Medicine |
Location | 12618 Hawthorne Blvd., Hawthorne, California |
Authorized Official Name and Position | Elizabeth Sander (PRESIDENT) |
Authorized Official Contact | 3107924060 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Axminster Medical Group Inc. 12618 Hawthorne Blvd. Hawthorne CA 90250-2325 Ph: (310) 263-5700 | Axminster Medical Group Inc. 12618 Hawthorne Blvd. Hawthorne CA 90250-2325 Ph: (310) 263-5700 |
NPI Number | 1942293279 |
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Provider Enumeration Date | 08/23/2005 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942293279 | NPI | - | NPPES |
GR0084741 | Medicaid | CA | |
ZZZ24681Z | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
Keith Ebilane, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13429 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-644-8683 Fax: 310-644-0132 | |
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Ananias E. Ebilane, M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13429 S Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-644-8683 Fax: 310-644-0132 | |
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Lieu S. Nguyen, M.d., A Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15032 Prairie Ave, Hawthorne, CA 90250 Phone: 310-675-7343 Fax: 310-675-1951 | |
Mehmet C Demirozu M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4477 W 118th St, Suite 303, Hawthorne, CA 90250 Phone: 310-644-9515 Fax: 310-644-3629 |