| Stevedores Physicians Group A Pc | |
|
123 E F St Suite H Wilmington CA 90744-5817 | |
| (310) 549-4999 | |
| (310) 549-6942 |
| Full Name | Stevedores Physicians Group A Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 123 E F St, Wilmington, California |
| Authorized Official Name and Position | Paul Krynen (SECRETARY) |
| Authorized Official Contact | 3105494999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stevedores Physicians Group A Pc 123 E F St Suite H Wilmington CA 90744-5817 Ph: (310) 549-4999 | Stevedores Physicians Group A Pc 123 E F St Suite H Wilmington CA 90744-5817 Ph: (310) 549-4999 |
| NPI Number | 1992033906 |
|---|---|
| Provider Enumeration Date | 12/02/2009 |
| Last Update Date | 04/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992033906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A71878 (California) | Primary |
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