Warmdoc Inc | |
23639 Hawthorne Blvd Ste 200 Torrance CA 90505-5988 | |
(559) 572-2583 | |
(877) 486-1368 |
Full Name | Warmdoc Inc |
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Speciality | Family Medicine |
Location | 23639 Hawthorne Blvd Ste 200, Torrance, California |
Authorized Official Name and Position | Connie Williams (ACCTS MGR) |
Authorized Official Contact | 3109203176 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Warmdoc Inc Po Box 3514 Redondo Beach CA 90277-1514 Ph: (595) 722-5835 | Warmdoc Inc 23639 Hawthorne Blvd Ste 200 Torrance CA 90505-5988 Ph: (559) 572-2583 |
NPI Number | 1528482130 |
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Provider Enumeration Date | 02/18/2014 |
Last Update Date | 05/14/2022 |
Medicare PECOS PAC ID | 3678798071 |
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Medicare Enrollment ID | O20151002000961 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528482130 | NPI | - | NPPES |
A122119 | Other | CA | CA LICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A122119 (California) | Primary |
Provider Name | Olusegun Adetuyi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417275033 PECOS PAC ID: 2961641576 Enrollment ID: I20140626002537 |
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