La Community Care Medical
La Community Care Medical provides Family Medicine Physician services in Hawthorne, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
11633 Hawthorne Blvd Ste 103Hawthorne, CA 90250-2323
Phone: (310) 219-2929
Fax: (310) 219-2940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence A053317 (CA) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence A053317 (CA) |
Record details
| NPI number | 1801099486 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Augustine Iluore — Medical Director · (310) 219-2929 |
| Other names | La Community Care Medical Associates Inc |
| NPI enumerated | June 8, 2007 |
| Last updated in NPPES | April 14, 2017 |
| Mailing address | 11633 Hawthorne Blvd Ste 103, Hawthorne, CA 90250-2323 |
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