| Jcw Medical Centers, Inc. | |
|
1035 S Prairie Ave Ste 1 Inglewood CA 90301-5273 | |
| (310) 672-6500 | |
| Not Available |
| Full Name | Jcw Medical Centers, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1035 S Prairie Ave Ste 1, Inglewood, California |
| Authorized Official Name and Position | John C Weaver (OWNER) |
| Authorized Official Contact | 3106726500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jcw Medical Centers, Inc. 1035 S Prairie Ave Ste 1 Inglewood CA 90301-5273 Ph: (310) 672-6500 | Jcw Medical Centers, Inc. 1035 S Prairie Ave Ste 1 Inglewood CA 90301-5273 Ph: (310) 672-6500 |
| NPI Number | 1669969218 |
|---|---|
| Provider Enumeration Date | 04/19/2018 |
| Last Update Date | 04/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669969218 | NPI | - | NPPES |
| G359590 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G35959 (California) | Primary |
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