| Los Angeles County | |
|
123 W Manchester Blvd Inglewood CA 90301-1753 | |
| (310) 419-5384 | |
| (310) 677-5777 |
| Full Name | Los Angeles County |
|---|---|
| Speciality | Clinic/center |
| Location | 123 W Manchester Blvd, Inglewood, California |
| Authorized Official Name and Position | Marsha Epstein (AREA HEALTH OFFICER) |
| Authorized Official Contact | 3104195301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Angeles County 123 W Manchester Blvd Inglewood CA 90301-1753 Ph: (310) 419-5384 | Los Angeles County 123 W Manchester Blvd Inglewood CA 90301-1753 Ph: (310) 419-5384 |
| NPI Number | 1295811685 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295811685 | NPI | - | NPPES |
| A42151 | Other | CA | MEDICAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A42151 (California) | Primary |
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