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Organization
EL SEGUNDO MEDICAL CENTER INC.
Active
Organization
EL SEGUNDO MEDICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI L STANTON (OFFICE MANAGER)
(310) 322-1611
Entity
Organization
Contact information
Practice address
455 MAIN ST, EL SEGUNDO, CA 90245-3003
(310) 322-1611
(310) 322-4589
Mailing address
455 MAIN ST, EL SEGUNDO, CA 90245-3003
(310) 322-1611
(310) 322-4589
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A22013
CA
Other
Enumeration date
10/09/2006
Last updated
08/22/2020
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