Flinders Physicians Group Inc | |
319 N Broadway Apt 215 Redondo Beach CA 90277-2850 | |
(310) 408-7096 | |
Not Available |
Full Name | Flinders Physicians Group Inc |
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Speciality | Clinic/Center |
Location | 319 N Broadway Apt 215, Redondo Beach, California |
Authorized Official Name and Position | Michael Azarkh (DIRECTOR) |
Authorized Official Contact | 3104087096 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Flinders Physicians Group Inc 319 N Broadway Apt 108 Redondo Beach CA 90277-2850 Ph: (310) 408-7096 | Flinders Physicians Group Inc 319 N Broadway Apt 215 Redondo Beach CA 90277-2850 Ph: (310) 408-7096 |
NPI Number | 1285153882 |
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Provider Enumeration Date | 09/14/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 4981962081 |
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Medicare Enrollment ID | O20171219001740 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285153882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | A116986 (California) | Primary |
Provider Name | Michael B Azarkh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790958452 PECOS PAC ID: 8123290111 Enrollment ID: I20111208000555 |
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