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Organization

INGLEWOOD FAMILY MEDICAL CLINIC CORP

Active
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Organization

INGLEWOOD FAMILY MEDICAL CLINIC CORP

Active
Other names
INGLEWOOD FAMILY MEDICAL CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ROBIN DEANNA RILEY-GARNER PA (SEC/TRES)
(310) 677-3595
Entity
Organization

Contact information

Practice address
3215 W IMPERIAL HWY, INGLEWOOD, CA 90303-2810
(310) 677-3595
(310) 355-8373
Mailing address
3215 W IMPERIAL HWY, INGLEWOOD, CA 90303-2810
(310) 677-3595
(310) 355-8373

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A61290
CA
363A00000X
Physician Assistant
PA14869
CA

Other

Enumeration date
05/19/2010
Last updated
05/19/2010
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