| El Segundo Family Medical Group | |
|
855 Manhattan Beach Blvd Suite 104 Manhattan Beach CA 90266-4965 | |
| (310) 939-1892 | |
| (310) 939-1894 |
| Full Name | El Segundo Family Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 855 Manhattan Beach Blvd, Manhattan Beach, California |
| Authorized Official Name and Position | Raju H Wadhwa (OWNER) |
| Authorized Official Contact | 3109391892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Segundo Family Medical Group 855 Manhattan Beach Blvd Suite 104 Manhattan Beach CA 90266-4965 Ph: (310) 939-1892 | El Segundo Family Medical Group 855 Manhattan Beach Blvd Suite 104 Manhattan Beach CA 90266-4965 Ph: (310) 939-1892 |
| NPI Number | 1457305963 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457305963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A50651 (California) | Primary |
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