| Community Family Care Ipa | |
|
19210 S Vermont Ave Ste 400 Gardena CA 90248-4431 | |
| (310) 436-0202 | |
| Not Available |
| Full Name | Community Family Care Ipa |
|---|---|
| Speciality | Family Medicine |
| Location | 19210 S Vermont Ave Ste 400, Gardena, California |
| Authorized Official Name and Position | Ronald Brandt (GENERAL MANAGER) |
| Authorized Official Contact | 3104360202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Family Care Ipa 19210 S Vermont Ave Ste 400 Gardena CA 90248-4431 Ph: (310) 436-0202 | Community Family Care Ipa 19210 S Vermont Ave Ste 400 Gardena CA 90248-4431 Ph: (310) 436-0202 |
| NPI Number | 1659581932 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 02/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659581932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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