Organization · Type 2 NPI

Los Angeles County

Clinic/Center · Inglewood, CA

NPI number 1295811685 Active

Practice location

123 W Manchester Blvd
Inglewood, CA 90301-1753

Fax (310) 677-5777

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XA42151 (CA)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

15 other providers at this address

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About NPI 1295811685

Los Angeles County's National Provider Identifier is 1295811685, issued on Oct 27, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Inglewood, CA. The record was last updated on Aug 22, 2020.