West Gardena Community Clinic | |
2233 W Rosecrans Ave Gardena CA 90249-2905 | |
(310) 436-7760 | |
Not Available |
Full Name | West Gardena Community Clinic |
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Speciality | Family Medicine |
Location | 2233 W Rosecrans Ave, Gardena, California |
Authorized Official Name and Position | Alice Blaci (PRESIDENT) |
Authorized Official Contact | 3104367760 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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West Gardena Community Clinic 2233 W Rosecrans Ave Gardena CA 90249-2905 Ph: (310) 436-7760 | West Gardena Community Clinic 2233 W Rosecrans Ave Gardena CA 90249-2905 Ph: (310) 436-7760 |
NPI Number | 1760868418 |
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Provider Enumeration Date | 08/05/2015 |
Last Update Date | 08/05/2015 |
Identifier | Type | State | Issuer |
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1760868418 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20AA5193 (California) | Primary |
363A00000X | Physician Assistant | PA12545 (California) | Secondary |
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