| St.paul Medical Center Of The S. Bay | |
|
12923 Inglewood Ave Ste 1 Hawthorne CA 90250 | |
| (310) 675-0395 | |
| (310) 675-0497 |
| Full Name | St.paul Medical Center Of The S. Bay |
|---|---|
| Speciality | Family Medicine |
| Location | 12923 Inglewood Ave Ste 1, Hawthorne, California |
| Authorized Official Name and Position | Dolly V. Pham (VICE-PRESIDENT-COO) |
| Authorized Official Contact | 3106750395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St.paul Medical Center Of The S. Bay 12923 Inglewood Ave Ste 1 Hawthorne CA 90250-5139 Ph: (310) 675-0395 | St.paul Medical Center Of The S. Bay 12923 Inglewood Ave Ste 1 Hawthorne CA 90250 Ph: (310) 675-0395 |
| NPI Number | 1447262522 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 07/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447262522 | NPI | - | NPPES |
| GR0044320 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Keith Ebilane, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13429 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-644-8683 Fax: 310-644-0132 | |
Behavioral Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12954 Hawthorne Blvd Ste 100, Hawthorne, CA 90250 Phone: 310-978-6900 Fax: 310-218-5484 | |
Ace Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4477 W 118th St, Suite 200, Hawthorne, CA 90250 Phone: 310-675-4440 Fax: 310-675-5816 | |
Ananias E. Ebilane, M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13429 S Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-644-8683 Fax: 310-644-0132 | |
Lieu S. Nguyen, M.d., A Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15032 Prairie Ave, Hawthorne, CA 90250 Phone: 310-675-7343 Fax: 310-675-1951 | |
Mehmet C Demirozu M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4477 W 118th St, Suite 303, Hawthorne, CA 90250 Phone: 310-644-9515 Fax: 310-644-3629 | |
Northeast Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4455 W. 117th St Suite 105, Hawthorne, CA 90250 Phone: 424-456-6200 Fax: 424-456-6201 |