| Redondo Beach Physical Medicine | |
|
901 N Pacific Coast Hwy Ste 101 Redondo Beach CA 90277-2162 | |
| (310) 379-3303 | |
| Not Available |
| Full Name | Redondo Beach Physical Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 901 N Pacific Coast Hwy Ste 101, Redondo Beach, California |
| Authorized Official Name and Position | Ivan Sanchez (MANAGER) |
| Authorized Official Contact | 3103793303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redondo Beach Physical Medicine 901 N Pacific Coast Hwy Ste 101 Redondo Beach CA 90277-2162 Ph: (310) 379-3303 | Redondo Beach Physical Medicine 901 N Pacific Coast Hwy Ste 101 Redondo Beach CA 90277-2162 Ph: (310) 379-3303 |
| NPI Number | 1992218101 |
|---|---|
| Provider Enumeration Date | 11/09/2017 |
| Last Update Date | 11/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992218101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A118026 (California) | Primary |
| 363LF0000X | Nurse Practitioner - Family | NPF95007657 (California) | Secondary |
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