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1403 Lomita Blvd Suite 102, Rooms 1-26 & Conference Room Harbor City CA 90710 | |
(310) 534-6221 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 1403 Lomita Blvd, Harbor City, California |
Authorized Official Name and Position | Virginia Perez (CHIEF-CONSOLIDATED BUSINESS OFFICE) |
Authorized Official Contact | 3239147622 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1403 Lomita Blvd Suite 102 Harbor City CA 90710 Ph: (310) 534-6221 | 1403 Lomita Blvd Suite 102, Rooms 1-26 & Conference Room Harbor City CA 90710 Ph: (310) 534-6221 |
NPI Number | 1194288852 |
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Provider Enumeration Date | 04/10/2019 |
Last Update Date | 04/11/2019 |
Identifier | Type | State | Issuer |
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1194288852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Northeast Community Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1403 Lomita Blvd Ste 103, Harbor City, CA 90710 Phone: 310-784-1800 Fax: 310-602-3737 | |
St. Isabel Family Medical Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1535 Lomita Blvd, Harbor City, CA 90710 Phone: 310-530-9300 Fax: 310-530-9303 |