| San Pedro Medical Clinic | |
|
715 S Averill Ave San Pedro CA 90732-3813 | |
| (310) 831-9080 | |
| (310) 831-9081 |
| Full Name | San Pedro Medical Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 715 S Averill Ave, San Pedro, California |
| Authorized Official Name and Position | Kristina Kutsina (MANAGER) |
| Authorized Official Contact | 3108319080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Pedro Medical Clinic 715 S Averill Ave San Pedro CA 90732-3813 Ph: (310) 831-9080 | San Pedro Medical Clinic 715 S Averill Ave San Pedro CA 90732-3813 Ph: (310) 831-9080 |
| NPI Number | 1952624140 |
|---|---|
| Provider Enumeration Date | 03/02/2010 |
| Last Update Date | 03/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952624140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
San Miguel Urgent Care San Pedro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 W 7th St, San Pedro, CA 90731 Phone: 424-264-5630 | |
Mark Perez Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1350 W 6th St, 2nd Floor #7, San Pedro, CA 90732 Phone: 310-832-1126 Fax: 310-831-3000 | |
Jeremy Anuntiyo Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1360 W 6th St Ste 310, San Pedro, CA 90732 Phone: 562-529-7772 Fax: 562-529-5449 | |
Dr Mona Shah Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1600 S Gaffey St, San Pedro, CA 90731 Phone: 310-548-0201 Fax: 310-547-3340 | |
Total Body Advanced Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 789 W 9th St, San Pedro, CA 90731 Phone: 310-519-1557 Fax: 310-519-0330 |