| Centinela Medical Center Clinics | |
|
20300 S Vermont Ave Ste 215 Torrance CA 90502-1334 | |
| (323) 295-5062 | |
| (310) 693-8082 |
| Full Name | Centinela Medical Center Clinics |
|---|---|
| Speciality | Clinic/Center |
| Location | 20300 S Vermont Ave Ste 215, Torrance, California |
| Authorized Official Name and Position | Anthony C Dike (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3234344626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centinela Medical Center Clinics 20300 S Vermont Ave Ste 215 Torrance CA 90502-1334 Ph: (323) 434-4626 | Centinela Medical Center Clinics 20300 S Vermont Ave Ste 215 Torrance CA 90502-1334 Ph: (323) 295-5062 |
| NPI Number | 1528000866 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 09/25/2020 |
| Medicare PECOS PAC ID | 5698718872 |
|---|---|
| Medicare Enrollment ID | O20050817001194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528000866 | NPI | - | NPPES |
| GR0043390 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Anthony Dike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003858481 PECOS PAC ID: 8527051127 Enrollment ID: I20050909000929 |
| Provider Name | Patience R Akhimien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346617594 PECOS PAC ID: 8729397773 Enrollment ID: I20151014002230 |
| Provider Name | Fidelia Onyebuchi Nnachetam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992156962 PECOS PAC ID: 7113345588 Enrollment ID: I20200916002519 |
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