| Inglewood La Eecp Center | |
|
633 Aerick St Ste 101 Inglewood CA 90301-1902 | |
| (310) 412-8181 | |
| (310) 412-9221 |
| Full Name | Inglewood La Eecp Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 633 Aerick St Ste 101, Inglewood, California |
| Authorized Official Name and Position | Cranford Lavern Scott (PRESIDENT / MEDICAL DIRECOT) |
| Authorized Official Contact | 3106736581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inglewood La Eecp Center 233 N Prairie Ave Inglewood CA 90301-1412 Ph: (310) 673-6581 | Inglewood La Eecp Center 633 Aerick St Ste 101 Inglewood CA 90301-1902 Ph: (310) 412-8181 |
| NPI Number | 1063479657 |
|---|---|
| Provider Enumeration Date | 04/27/2006 |
| Last Update Date | 03/22/2018 |
| Medicare PECOS PAC ID | 1759370281 |
|---|---|
| Medicare Enrollment ID | O20040510001383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063479657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | C32142 (California) | Primary |
| Provider Name | Cranford L Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265437925 PECOS PAC ID: 4789580671 Enrollment ID: I20040511000778 |
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