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Organization
SKYPARK PREFERRED FAMILY CARE MEDICAL CORPORATION
Active
Organization
SKYPARK PREFERRED FAMILY CARE MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS W LAGRELIUS MD (AUTHORIZED SIGNER)
(310) 543-1787
Entity
Organization
Contact information
Practice address
23451 MADISON ST STE 140, TORRANCE, CA 90505-4736
(310) 543-1787
(310) 543-1765
Mailing address
23451 MADISON ST STE 140, TORRANCE, CA 90505-4736
(310) 543-1787
(310) 543-1765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/03/2018
Last updated
02/02/2018
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