| Odette R Tawadrous Medical Clinic Inc. | |
|
3625 Martin Luther King Jr Blvd Ste 10 Lynwood CA 90262-3509 | |
| (310) 223-1429 | |
| (310) 223-1432 |
| Full Name | Odette R Tawadrous Medical Clinic Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3625 Martin Luther King Jr Blvd Ste 10, Lynwood, California |
| Authorized Official Name and Position | Odette R Tawadrous (PRESIDENT) |
| Authorized Official Contact | 3102231429 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Odette R Tawadrous Medical Clinic Inc. Po Box 1018 Artesia CA 90702-1018 Ph: (310) 223-1429 | Odette R Tawadrous Medical Clinic Inc. 3625 Martin Luther King Jr Blvd Ste 10 Lynwood CA 90262-3509 Ph: (310) 223-1429 |
| NPI Number | 1558717165 |
|---|---|
| Provider Enumeration Date | 05/12/2016 |
| Last Update Date | 05/12/2016 |
| Medicare PECOS PAC ID | 5698017911 |
|---|---|
| Medicare Enrollment ID | O20190506002664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558717165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Odette R Tawadrous |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669661492 PECOS PAC ID: 8729178066 Enrollment ID: I20071226000304 |
Jwch Institute, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3590 E Imperial Hwy, Lynwood, CA 90262 Phone: 323-201-4516 | |
Christylcare Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3611 Martin Luther King Jr Blvd, Suite 108, Lynwood, CA 90262 Phone: 310-537-2588 Fax: 310-537-9456 | |
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Med Forte Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3680 E Imperial Hwy, Suite 470, Lynwood, CA 90262 Phone: 310-604-3456 | |
Harding G. Young, Md, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3617 Martin Luther King Jr Blvd, Suite 1, Lynwood, CA 90262 Phone: 310-631-2660 | |
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