| |
123 W Manchester Blvd Inglewood CA 90301-1753 | |
(310) 419-5325 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 123 W Manchester Blvd, Inglewood, California |
Authorized Official Name and Position | Quentin O'brien (ACN, CEO) |
Authorized Official Contact | 2132889000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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123 W Manchester Blvd Inglewood CA 90301-1753 Ph: (310) 419-5325 | 123 W Manchester Blvd Inglewood CA 90301-1753 Ph: (310) 419-5325 |
NPI Number | 1174977813 |
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Provider Enumeration Date | 04/19/2016 |
Last Update Date | 01/15/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174977813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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