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Organization
PIPELINE COMMUNITY SPECIALTY CLINIC
Active
Organization
PIPELINE COMMUNITY SPECIALTY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT GREEN MD (AUTHORIZED OFFICIAL)
(310) 321-0143
Entity
Organization
Contact information
Practice address
1141 W REDONDO BEACH BLVD STE 212, GARDENA, CA 90247-3584
(310) 698-5463
Mailing address
PO BOX 80717, CITY OF INDUSTRY, CA 91716-8416
(310) 321-0143
(310) 379-4856
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
01/25/2023
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