| Stuart Wolf MD PC | |
|
3621 Mlk Jr Blvd Ste 6 Lynwood CA 90262-3512 | |
| (323) 566-1675 | |
| Not Available |
| Full Name | Stuart Wolf MD PC |
|---|---|
| Speciality | Family Medicine |
| Location | 3621 Mlk Jr Blvd Ste 6, Lynwood, California |
| Authorized Official Name and Position | Stuart Wolf (PRESIDENT) |
| Authorized Official Contact | 3235661675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stuart Wolf MD PC Po Box 1867 South Gate CA 90280-1867 Ph: (323) 566-1675 | Stuart Wolf MD PC 3621 Mlk Jr Blvd Ste 6 Lynwood CA 90262-3512 Ph: (323) 566-1675 |
| NPI Number | 1093873614 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 06/17/2023 |
| Certification Date | 06/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093873614 | NPI | - | NPPES |
| 00A359600 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| 207R00000X | Internal Medicine | (NU) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (NU) | Secondary |
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