Meridian Health Systems Aco | |
4477 W 118th St 304 Hawthorne CA 90250-2255 | |
(323) 252-2784 | |
(310) 693-8082 |
Full Name | Meridian Health Systems Aco |
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Speciality | Internal Medicine |
Location | 4477 W 118th St, Hawthorne, California |
Authorized Official Name and Position | Anthony C Dike (MEDICAL DIRECTOR) |
Authorized Official Contact | 3232522784 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Meridian Health Systems Aco 4477 W 118th St 304 Hawthorne CA 90250-2255 Ph: (323) 252-2784 | Meridian Health Systems Aco 4477 W 118th St 304 Hawthorne CA 90250-2255 Ph: (323) 252-2784 |
NPI Number | 1639440878 |
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Provider Enumeration Date | 01/19/2012 |
Last Update Date | 01/19/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639440878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A43519 (California) | Primary |
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