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Organization
CHARLES DREW MULTI-SPECIALTY GROUP, INC.
Active
Organization
CHARLES DREW MULTI-SPECIALTY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD S BAKER M.D. (PRESIDENT - BOARD OF DIRECTORS)
(323) 563-4991
Entity
Organization
Contact information
Practice address
3737 MARTIN LUTHER KING JR BLVD, SUITE 401, LYNWOOD, CA 90262
(310) 669-8845
(310) 669-8876
Mailing address
3737 MARTIN LUTHER KING JR BLVD, SUITE 401, LYNWOOD, CA 90262
(310) 669-8845
(310) 669-8876
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
163WP0000X
Pain Management Registered Nurse
—
NULL
163WP0000X
Pain Management Registered Nurse
—
—
163WX0106X
Occupational Health Registered Nurse
—
NULL
163WX0106X
Occupational Health Registered Nurse
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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