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San Antonio Lennox
General Practice Physician in Lennox, California
NPI 1033303920

San Antonio Lennox is a General Practice Physician based in Hawthorne, CA. San Antonio Lennox practices in Lennox, CA. The NPI Number for San Antonio Lennox is 1033303920 and holds a License No. A74961 (California).

The current practice location address for San Antonio Lennox is 10811 S Grevillea Ave, Lennox, CA and can be reached out via phone at 310-673-1922 and via fax at 310-673-7701.

Location: 10811 S Grevillea Ave, Lennox, CA, 90251-1045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033303920
Provider Name
San Antonio Lennox
Credential
Provider Entity Type
Organization
Address
10811 S Grevillea Ave, Lennox, CA, 90251-1045
Phone Number
310-673-1922
Fax Number
310-673-7701
Provider Enumeration Date
09/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336251032 01 CA NPI
institution
Provider Business Practice Location Address Details
Address
10811 S Grevillea Ave
City
Lennox
State
California
Zip
90304-2325
Phone Number
310-673-1922
Fax Number
310-673-7701
person
Provider Business Mailing Address Details
Address
10811 S Grevillea Ave
City
Lennox
State
California
Zip
90304-2325
Phone Number
310-673-1922
Fax Number
310-673-7701
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
A74961 (California)
Definition
Definition to come...
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