| Manuel Acevedo | |
|
10811 S Grevillea Ave Lennox CA 90304-2325 | |
| (310) 673-1922 | |
| (310) 673-7701 |
| Full Name | Manuel Acevedo |
|---|---|
| Speciality | General Practice |
| Location | 10811 S Grevillea Ave, Lennox, California |
| Authorized Official Name and Position | Manuel Ernesto Acevedo (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3106731922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manuel Acevedo Po Box 1045 Hawthorne CA 90251-1045 Ph: (310) 679-1922 | Manuel Acevedo 10811 S Grevillea Ave Lennox CA 90304-2325 Ph: (310) 673-1922 |
| NPI Number | 1033303920 |
|---|---|
| Provider Enumeration Date | 09/04/2007 |
| Last Update Date | 09/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033303920 | NPI | - | NPPES |
| 1336251032 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A74961 (California) | Primary |
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