| |
633 Aerick St Ste 101 Inglewood CA 90301-1902 | |
(310) 412-8181 | |
(310) 412-9221 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
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 | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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233 N Prairie Ave Inglewood CA 90301-1412 Ph: (310) 673-6581 | 633 Aerick St Ste 101 Inglewood CA 90301-1902 Ph: (310) 412-8181 |
NPI Number | 1063479657 |
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Provider Enumeration Date | 04/27/2006 |
Last Update Date | 03/22/2018 |
Identifier | Type | State | Issuer |
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1063479657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | C32142 (California) | Primary |
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