| Inglewood Family Medical Clinic | |
|
3215 W Imperial Hwy Inglewood CA 90303-2810 | |
| (310) 677-3595 | |
| (310) 355-8373 |
| Full Name | Inglewood Family Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 3215 W Imperial Hwy, Inglewood, California |
| Authorized Official Name and Position | Robin Deanna Riley-garner (SEC/TRES) |
| Authorized Official Contact | 3106773595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inglewood Family Medical Clinic 3215 W Imperial Hwy Inglewood CA 90303-2810 Ph: (310) 677-3595 | Inglewood Family Medical Clinic 3215 W Imperial Hwy Inglewood CA 90303-2810 Ph: (310) 677-3595 |
| NPI Number | 1073832887 |
|---|---|
| Provider Enumeration Date | 05/19/2010 |
| Last Update Date | 05/19/2010 |
| Medicare PECOS PAC ID | 4082891973 |
|---|---|
| Medicare Enrollment ID | O20110601000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073832887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A61290 (California) | Primary |
| 363A00000X | Physician Assistant | PA14869 (California) | Secondary |
| Provider Name | Marlon M Farley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750325098 PECOS PAC ID: 1052207800 Enrollment ID: I20040226001172 |
H Milano Mellon Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 915 Myrtle Ave, Inglewood, CA 90301 Phone: 310-673-3133 Fax: 310-673-4277 | |
A Diop Family Care Medical Group Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2704 W Manchester Blvd, Inglewood, CA 90305 Phone: 323-778-4310 Fax: 323-778-0838 | |
Kingdom Health Ministries Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 E Nutwood St, Suite C, Inglewood, CA 90301 Phone: 310-803-6905 | |
Inglewood La Eecp Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 633 Aerick St Ste 101, Inglewood, CA 90301 Phone: 310-412-8181 Fax: 310-412-9221 | |
Montes Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 832 S. Grevillea Ave., Inglewood, CA 90301 Phone: 310-419-4354 Fax: 310-419-4621 | |
Bullis Family Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 248 N Locust St, Inglewood, CA 90301 Phone: 310-673-3737 Fax: 310-673-0248 |