| Laron Phillips, MD PC | |
|
150 W 7th St San Pedro CA 90731-3320 | |
| (901) 355-5895 | |
| Not Available |
| Full Name | Laron Phillips, MD PC |
|---|---|
| Speciality | Clinic/center |
| Location | 150 W 7th St, San Pedro, California |
| Authorized Official Name and Position | Laron Edward Phillips (CEO) |
| Authorized Official Contact | 9013555895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laron Phillips, MD PC 707 E Ocean Blvd Apt 1102 Long Beach CA 90802-5180 Ph: (901) 355-5895 | Laron Phillips, MD PC 150 W 7th St San Pedro CA 90731-3320 Ph: (901) 355-5895 |
| NPI Number | 1720732480 |
|---|---|
| Provider Enumeration Date | 02/10/2022 |
| Last Update Date | 06/22/2022 |
| Certification Date | 06/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720732480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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