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Organization
PROGRESSIVE MEDICAL GROUP
Active
Organization
PROGRESSIVE MEDICAL GROUP
Active
Parent organization
YES
Organization subpart
Yes
Provider details
NPI number
Legal business name
YES
Authorized official
DR. JOHN C. WEAVER M.D. (M.D.)
(310) 672-6500
Entity
Organization
Contact information
Practice address
1035 S PRAIRIE AVE, STE. 1, INGLEWOOD, CA 90301-5272
(310) 672-6500
(310) 672-6781
Mailing address
1035 S PRAIRIE AVE, STE. 1, INGLEWOOD, CA 90301-5272
(310) 672-6500
(310) 672-6781
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G35959
CA
Other
Enumeration date
05/24/2007
Last updated
10/11/2013
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