| Lagomcare, A Medical Corporation | |
|
5830 Overhill Dr Ste 1 Los Angeles CA 90043-2710 | |
| (310) 887-1112 | |
| Not Available |
| Full Name | Lagomcare, A Medical Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5830 Overhill Dr Ste 1, Los Angeles, California |
| Authorized Official Name and Position | Jacqueline Grier (CFO) |
| Authorized Official Contact | 3108871112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lagomcare, A Medical Corporation Po Box 452513 Los Angeles CA 90045-8534 Ph: () - | Lagomcare, A Medical Corporation 5830 Overhill Dr Ste 1 Los Angeles CA 90043-2710 Ph: (310) 887-1112 |
| NPI Number | 1962081406 |
|---|---|
| Provider Enumeration Date | 04/02/2021 |
| Last Update Date | 08/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962081406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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