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8473 S Van Ness Ave Suite 102 Inglewood CA 90305-1550 | |
(323) 737-2576 | |
(313) 649-5073 |
Full Name | |
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Speciality | General Practice |
Location | 8473 S Van Ness Ave, Inglewood, California |
Authorized Official Name and Position | Clyde T Arnold (PRESIDENT) |
Authorized Official Contact | 3237372576 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8473 S Van Ness Ave Suite 102 Inglewood CA 90305-1550 Ph: (323) 737-2576 | 8473 S Van Ness Ave Suite 102 Inglewood CA 90305-1550 Ph: (323) 737-2576 |
NPI Number | 1215189071 |
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Provider Enumeration Date | 10/10/2008 |
Last Update Date | 10/10/2008 |
Identifier | Type | State | Issuer |
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1215189071 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | A22479 (California) | Primary |
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