| Ejs Medical Group | |
|
455 N Prairie Ave Inglewood CA 90301-1413 | |
| (310) 412-0183 | |
| Not Available |
| Full Name | Ejs Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 455 N Prairie Ave, Inglewood, California |
| Authorized Official Name and Position | Eric Jackson-scott (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3109480485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ejs Medical Group 2355 Westwood Blvd Ste 609 Los Angeles CA 90064-2109 Ph: (310) 948-0485 | Ejs Medical Group 455 N Prairie Ave Inglewood CA 90301-1413 Ph: (310) 412-0183 |
| NPI Number | 1538439302 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 01/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538439302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A115195 (California) | Primary |
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