| United Physician Multispecialty Group Inc | |
|
1037 E Pacific Coast Hwy Wilmington CA 90744-2726 | |
| (310) 549-6950 | |
| Not Available |
| Full Name | United Physician Multispecialty Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1037 E Pacific Coast Hwy, Wilmington, California |
| Authorized Official Name and Position | Randall Hrabko (PRESIDENT) |
| Authorized Official Contact | 2134134203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United Physician Multispecialty Group Inc 1930 Wilshire Blvd Suite 410 Los Angeles CA 90057-3605 Ph: (213) 413-4203 | United Physician Multispecialty Group Inc 1037 E Pacific Coast Hwy Wilmington CA 90744-2726 Ph: (310) 549-6950 |
| NPI Number | 1265473672 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265473672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G39326 (California) | Primary |
| 302F00000X | Exclusive Provider Organization | FNP34335 (California) | Secondary |
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