| Lakewood Internal Medical Group | |
|
3650 South St Suite 110 Lakewood CA 90712-1502 | |
| (562) 633-4117 | |
| (562) 633-6560 |
| Full Name | Lakewood Internal Medical Group |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3650 South St, Lakewood, California |
| Authorized Official Name and Position | Lawrence Gershon (PRESIDENT) |
| Authorized Official Contact | 5626334117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Internal Medical Group 3650 South St Suite 110 Lakewood CA 90712-1502 Ph: (562) 633-4117 | Lakewood Internal Medical Group 3650 South St Suite 110 Lakewood CA 90712-1502 Ph: (562) 633-4117 |
| NPI Number | 1770604407 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770604407 | NPI | - | NPPES |
| ZZZ70783Z | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A22752 (California) | Primary |
Prohealth Partners, A Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3650 E. South St., Suite 212, Lakewood, CA 90712 Phone: 562-299-5200 | |
Lakewood Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4318 South St, Lakewood, CA 90712 Phone: 562-788-7574 Fax: 562-788-7650 | |
Prohealth Partners, A Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5750 Downey Ave Ste 202, Lakewood, CA 90712 Phone: 562-634-4939 Fax: 562-634-5809 | |
Zuberi Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3514 E South St, Lakewood, CA 90712 Phone: 310-908-9338 Fax: 562-808-2145 | |
Prohealth Partners, A Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3650 South St, Suite 210, Lakewood, CA 90712 Phone: 562-630-0910 Fax: 562-630-4877 | |
Jesse J Licuanan Md A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 E South St, Suite 205, Lakewood, CA 90805 Phone: 562-531-0377 Fax: 562-531-1724 | |
Planned Parenthood Los Angeles-lakewood Center Basic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5519 Del Amo Blvd, Lakewood, CA 90713 Phone: 213-284-3126 Fax: 562-867-6846 |