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4023 Marine Ave Lawndale CA 90260-1840 | |
(310) 675-9555 | |
(310) 263-2415 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 4023 Marine Ave, Lawndale, California |
Authorized Official Name and Position | Stan Sharma (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6612546630 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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26460 Summit Cir Santa Clarita CA 91350-2991 Ph: (661) 254-6630 | 4023 Marine Ave Lawndale CA 90260-1840 Ph: (310) 675-9555 |
NPI Number | 1609135771 |
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Provider Enumeration Date | 05/10/2012 |
Last Update Date | 05/10/2012 |
Identifier | Type | State | Issuer |
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1609135771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 960000644 (California) | Primary |
Eric A. Enriquez, M.d. Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14623 Hawthorne Blvd, Suite 202, Lawndale, CA 90260 Phone: 310-973-8863 Fax: 310-973-1623 | |
Planned Parenthood Los Angeles, South Bay Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14623 Hawthorne Blvd Ste 300, Lawndale, CA 90260 Phone: 213-284-3121 Fax: 310-219-4040 | |