| Sushila J Agrawal,md Inc | |
|
3400 Lomita Blvd Suite 605 Torrance CA 90505-4909 | |
| (310) 539-3303 | |
| (310) 539-2824 |
| Full Name | Sushila J Agrawal,md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3400 Lomita Blvd, Torrance, California |
| Authorized Official Name and Position | Sushila J Agrawal (PRESIDENT) |
| Authorized Official Contact | 3105393303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sushila J Agrawal,md Inc 3400 Lomita Blvd Suite 605 Torrance CA 90505-4909 Ph: (310) 539-3303 | Sushila J Agrawal,md Inc 3400 Lomita Blvd Suite 605 Torrance CA 90505-4909 Ph: (310) 539-3303 |
| NPI Number | 1083950562 |
|---|---|
| Provider Enumeration Date | 01/02/2013 |
| Last Update Date | 01/02/2013 |
| Medicare PECOS PAC ID | 4284887944 |
|---|---|
| Medicare Enrollment ID | O20130104000378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083950562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A35286 (California) | Primary |
| Provider Name | Sushila Jain Agrawal |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1396841250 PECOS PAC ID: 1254380793 Enrollment ID: I20050121000490 |
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