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Specialty details in registry · Lawndale, CA
At a glance
14623 Hawthorne Blvd Ste 203, Lawndale, CA 90260-1589
NPPES record updated Mar 15, 2023. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.
Practice location
14623 Hawthorne Blvd Ste 203Lawndale, CA 90260-1589
Additional reported practice locations
14623 Hawthorne Blvd Ste 203Lawndale, CA 902601589
Phone: 3108448848
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 253Z00000X
- Enumeration date
- Mar 14, 2023
- Record updated
- Mar 15, 2023
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
253Z00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
14623 Hawthorne Blvd Ste 203Lawndale, CA 90260-1589
- Phone
- (310) 844-8848
Mailing address
14623 HAWTHORNE BLVD STE 203LAWNDALE, CA 902601589
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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