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Lakewood Internal Medical Group
Primary Care Clinic/Center in Lakewood, California
NPI 1770604407

Lakewood Internal Medical Group is a Primary Care Clinic/Center based in Lakewood, CA and is specialized in Primary Care. Lakewood Internal Medical Group practices in Lakewood, CA. The NPI Number for Lakewood Internal Medical Group is 1770604407 and holds a License No. A22752 (California).

The current practice location address for Lakewood Internal Medical Group is 3650 South St, Lakewood, CA and can be reached out via phone at 562-633-4117 and via fax at 562-633-6560.

Location: 3650 South St, Lakewood, CA, 90712-1502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770604407
Provider Name
Lakewood Internal Medical Group
Credential
Provider Entity Type
Organization
Address
3650 South St, Lakewood, CA, 90712-1502
Phone Number
562-633-4117
Fax Number
562-633-6560
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ70783Z 05 CA
institution
Provider Business Practice Location Address Details
Address
3650 South St
City
Lakewood
State
California
Zip
90712-1502
Phone Number
562-633-4117
Fax Number
562-633-6560
person
Provider Business Mailing Address Details
Address
3650 South St
City
Lakewood
State
California
Zip
90712-1502
Phone Number
562-633-4117
Fax Number
562-633-6560
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
A22752 (California)
Definition
Definition to come...
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