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Organization
MAIN MEDICAL HEALTH CLINIC INC
Active
Organization
MAIN MEDICAL HEALTH CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIEZL A SANTOS (NP)
(310) 634-7127
Entity
Organization
Contact information
Practice address
23517 MAIN ST STE 108, CARSON, CA 90745-5239
(310) 518-6246
(310) 518-6247
Mailing address
23517 MAIN ST STE 108, CARSON, CA 90745-5239
(310) 518-6246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
03/01/2021
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