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Organization
STUART WOLF MD PC
Active
Organization
STUART WOLF MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART WOLF MD (PRESIDENT)
(323) 566-1675
Entity
Organization
Contact information
Practice address
3621 MLK JR BLVD STE 6, LYNWOOD, CA 90262-3512
(323) 566-1675
Mailing address
PO BOX 1867, SOUTH GATE, CA 90280-1867
(323) 566-1675
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A359600
—
CA
Enumeration date
12/05/2006
Last updated
06/17/2023
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