| Leisure World Medical Group, Inc | |
|
1661 Golden Rain Rd Seal Beach CA 90740-4907 | |
| (562) 795-6300 | |
| (562) 795-6350 |
| Full Name | Leisure World Medical Group, Inc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 1661 Golden Rain Rd, Seal Beach, California |
| Authorized Official Name and Position | Sanatkumar Patel (SHAREHOLDER) |
| Authorized Official Contact | 5622811245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leisure World Medical Group, Inc Po Box 2685 Seal Beach CA 90740-1685 Ph: (562) 795-6300 | Leisure World Medical Group, Inc 1661 Golden Rain Rd Seal Beach CA 90740-4907 Ph: (562) 795-6300 |
| NPI Number | 1457381717 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 07/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457381717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | A43564 (California) | Primary |
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