| J & J Medical Group Inc | |
|
17507 Crenshaw Blvd Torrance CA 90504-3403 | |
| (310) 324-4443 | |
| (310) 324-7925 |
| Full Name | J & J Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 17507 Crenshaw Blvd, Torrance, California |
| Authorized Official Name and Position | Philip Kim (PHYSICIAN) |
| Authorized Official Contact | 2135984947 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J & J Medical Group Inc 1239 Bonnet Way Torrance CA 90502-1464 Ph: (310) 972-0051 | J & J Medical Group Inc 17507 Crenshaw Blvd Torrance CA 90504-3403 Ph: (310) 324-4443 |
| NPI Number | 1477235653 |
|---|---|
| Provider Enumeration Date | 08/07/2023 |
| Last Update Date | 08/07/2023 |
| Medicare PECOS PAC ID | 7113372590 |
|---|---|
| Medicare Enrollment ID | O20231005001669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477235653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Philip Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356781132 PECOS PAC ID: 5496054330 Enrollment ID: I20200715002512 |
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