# T.V.SCOTT, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598106593
- **Authorized official:** DR. TIMOTHY VAN SCOTT M.D. (PRESIDENT)
- **Authorized official phone:** (310) 673-5774

## Contact information

- **Practice address:** 323 N PRAIRIE AVE, SUITE 201, INGLEWOOD, CA 90301-4502
- **Practice address phone:** (310) 673-5774
- **Practice address fax:** (310) 673-9729
- **Mailing address:** 323 N PRAIRIE AVE, SUITE 201, INGLEWOOD, CA 90301-4502
- **Mailing address phone:** (310) 673-5774
- **Mailing address fax:** (310) 673-9729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | C34027 | CA | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2013
- **Last updated:** 07/08/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | OOC340270 | — | CA |