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La Vascular Access Ctr Medical Grp
Specialist in Inglewood, California
NPI 1104960558

La Vascular Access Ctr Medical Grp is a Specialist based in Inglewood, CA. La Vascular Access Ctr Medical Grp practices in Inglewood, CA. The NPI Number for La Vascular Access Ctr Medical Grp is 1104960558 and holds a License No. (California).

The current practice location address for La Vascular Access Ctr Medical Grp is 323 N Prairie Ave, Inglewood, CA and can be reached out via phone at 310-674-9300 and via fax at 310-674-9301.

Location: 323 N Prairie Ave, Inglewood, CA, 90301-4502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104960558
Provider Name
La Vascular Access Ctr Medical Grp
Credential
Provider Entity Type
Organization
Address
323 N Prairie Ave, Inglewood, CA, 90301-4502
Phone Number
310-674-9300
Fax Number
310-674-9301
Provider Enumeration Date
02/19/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0105550 01 CA MEDI-CAL - GROUP
W21161 01 CA MEDICARE - GROUP
institution
Provider Business Practice Location Address Details
Address
323 N Prairie Ave
City
Inglewood
State
California
Zip
90301-4502
Phone Number
310-674-9300
Fax Number
310-674-9301
person
Provider Business Mailing Address Details
Address
323 N Prairie Ave
City
Inglewood
State
California
Zip
90301-4502
Phone Number
310-674-9300
Fax Number
310-674-9301
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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