Organization · Type 2 NPI
Atlantic Avenue Medical Clinic
Specialist · Lynwood, CA
NPI number
1477550788
Active
Practice location
3737 Martin Luther King Jr Blvd Ste 333
Lynwood, CA 90262-3528
Fax (323) 562-3100
Mailing address
PO Box 619
Lynwood, CA 90262-0619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | A35223 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1477550788
Atlantic Avenue Medical Clinic's National Provider Identifier is 1477550788, issued on Jun 30, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lynwood, CA. The record was last updated on Oct 16, 2018.