| |
5900 S Eastern Ave Suite 186 Commerce CA 90040-4017 | |
(323) 278-6501 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 5900 S Eastern Ave, Commerce, California |
Authorized Official Name and Position | Connie Franks (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3232786501 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5900 S Eastern Ave Suite 186 Commerce CA 90040-4017 Ph: (323) 278-6501 | 5900 S Eastern Ave Suite 186 Commerce CA 90040-4017 Ph: (323) 278-6501 |
NPI Number | 1922245059 |
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Provider Enumeration Date | 01/12/2009 |
Last Update Date | 02/11/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922245059 | NPI | - | NPPES |
7429 | Other | DRUG-MEDICAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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