| Axminster Medical Group Inc. | |
|
12618 Hawthorne Blvd. Hawthorne CA 90250-2325 | |
| (310) 263-5700 | |
| Not Available |
| Full Name | Axminster Medical Group Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 12618 Hawthorne Blvd., Hawthorne, California |
| Authorized Official Name and Position | Elizabeth Sander (PRESIDENT) |
| Authorized Official Contact | 3107924060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Axminster Medical Group Inc. 12618 Hawthorne Blvd. Hawthorne CA 90250-2325 Ph: (310) 263-5700 | Axminster Medical Group Inc. 12618 Hawthorne Blvd. Hawthorne CA 90250-2325 Ph: (310) 263-5700 |
| NPI Number | 1942293279 |
|---|---|
| Provider Enumeration Date | 08/23/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942293279 | NPI | - | NPPES |
| GR0084741 | Medicaid | CA | |
| ZZZ24681Z | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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