| Stuart Wolf Md Pc | |
|
3621 Mlk Jr Blvd Ste 6 Lynwood CA 90262-3512 | |
| (323) 566-1675 | |
| Not Available |
| Full Name | Stuart Wolf Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3621 Mlk Jr Blvd Ste 6, Lynwood, California |
| Authorized Official Name and Position | Stuart Wolf (PRESIDENT) |
| Authorized Official Contact | 3235661675 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stuart Wolf Md Pc Po Box 1867 South Gate CA 90280-1867 Ph: (323) 566-1675 | Stuart Wolf Md Pc 3621 Mlk Jr Blvd Ste 6 Lynwood CA 90262-3512 Ph: (323) 566-1675 |
| NPI Number | 1093873614 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 06/17/2023 |
| Medicare PECOS PAC ID | 1951339985 |
|---|---|
| Medicare Enrollment ID | O20050801000792 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093873614 | NPI | - | NPPES |
| 00A359600 | Medicaid | CA |
| Provider Name | Stuart Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033293394 PECOS PAC ID: 4385673797 Enrollment ID: I20050805000622 |
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