| Madison Park Family Medical Group | |
|
1970 S Prospect Ave Redondo Beach CA 90277-6005 | |
| (310) 944-9344 | |
| (310) 944-9390 |
| Full Name | Madison Park Family Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1970 S Prospect Ave, Redondo Beach, California |
| Authorized Official Name and Position | Eduardo J Anorga (PROPRIETOR) |
| Authorized Official Contact | 3109449344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Park Family Medical Group 1970 S Prospect Ave Redondo Beach CA 90277-6005 Ph: (310) 944-9344 | Madison Park Family Medical Group 1970 S Prospect Ave Redondo Beach CA 90277-6005 Ph: (310) 944-9344 |
| NPI Number | 1437352325 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 07/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437352325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G56001 (California) | Primary |
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