| Ssg San Pedro | |
|
5811 S San Pedro St Los Angeles CA 90011-5323 | |
| (213) 553-1800 | |
| Not Available |
| Full Name | Ssg San Pedro |
|---|---|
| Speciality | Clinic/center |
| Location | 5811 S San Pedro St, Los Angeles, California |
| Authorized Official Name and Position | Herbert K Hatanaka (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2135531800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssg San Pedro 605 W Olympic Blvd Suite 600 Los Angeles CA 90015-1400 Ph: (213) 553-1800 | Ssg San Pedro 5811 S San Pedro St Los Angeles CA 90011-5323 Ph: (213) 553-1800 |
| NPI Number | 1003060518 |
|---|---|
| Provider Enumeration Date | 11/11/2008 |
| Last Update Date | 11/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003060518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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