| Scergon Medical Group Limited, Apc | |
|
233 N Prairie Ave Inglewood CA 90301-1412 | |
| (310) 412-4700 | |
| Not Available |
| Full Name | Scergon Medical Group Limited, Apc |
|---|---|
| Speciality | Clinic/Center |
| Location | 233 N Prairie Ave, Inglewood, California |
| Authorized Official Name and Position | Cranford Lavern Scott (PRESIDENT) |
| Authorized Official Contact | 3103451426 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scergon Medical Group Limited, Apc Po Box 1010 Inglewood CA 90308-1010 Ph: (310) 412-4700 | Scergon Medical Group Limited, Apc 233 N Prairie Ave Inglewood CA 90301-1412 Ph: (310) 412-4700 |
| NPI Number | 1194171215 |
|---|---|
| Provider Enumeration Date | 05/07/2016 |
| Last Update Date | 05/07/2016 |
| Medicare PECOS PAC ID | 9234497504 |
|---|---|
| Medicare Enrollment ID | O20171213002917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194171215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Cranford L Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265437925 PECOS PAC ID: 4789580671 Enrollment ID: I20040511000778 |
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