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Organization
SUNDARAM FAMILY MEDICAL CLINIC INC.
Active
Organization
SUNDARAM FAMILY MEDICAL CLINIC INC.
Active
Other names
SUNDARAM LA FAMILIA MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAWAHAR SUNDARAM M.D. (PHYSICIAN)
(323) 589-0927
Entity
Organization
Contact information
Practice address
3001 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5827
(323) 589-0927
Mailing address
3001 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5827
(323) 589-0927
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
A67659
CA
207Q00000X
Family Medicine Physician
A67659
CA
207Q00000X
Family Medicine Physician
Primary
PA19004
CA
2084P0804X
Child & Adolescent Psychiatry Physician
20A7566
CA
208D00000X
General Practice Physician
20A7566
CA
208D00000X
General Practice Physician
A67659
CA
208D00000X
General Practice Physician
PA19004
CA
208D00000X
General Practice Physician
PA190272
CA
208D00000X
General Practice Physician
PA19593
CA
Other
Enumeration date
08/25/2011
Last updated
01/20/2026
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