| Madison Park Family Medical | |
|
1970 So Prospect Ave Suite 3 Redondo Beach CA 90277 | |
| (310) 944-9344 | |
| (310) 944-9390 |
| Full Name | Madison Park Family Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 1970 So Prospect Ave, Redondo Beach, California |
| Authorized Official Name and Position | Neda Bayat (DO) |
| Authorized Official Contact | 3109449344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Park Family Medical 1970 So Prospect Ave Suite 3 Redondo Beach CA 90277 Ph: (310) 944-9344 | Madison Park Family Medical 1970 So Prospect Ave Suite 3 Redondo Beach CA 90277 Ph: (310) 944-9344 |
| NPI Number | 1760466700 |
|---|---|
| Provider Enumeration Date | 12/02/2005 |
| Last Update Date | 11/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760466700 | NPI | - | NPPES |
| W13994 | Other | GROUP MCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A7340 (California) | Primary |
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