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Organization

JCW MEDICAL CENTERS, INC.

Active
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Organization

JCW MEDICAL CENTERS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN C WEAVER JR. MD (OWNER)
(310) 672-6500
Entity
Organization

Contact information

Practice address
1035 S PRAIRIE AVE STE 1, INGLEWOOD, CA 90301-5273
(310) 672-6500
Mailing address
1035 S PRAIRIE AVE STE 1, INGLEWOOD, CA 90301-5273
(310) 672-6500

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G35959
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
G359590
CA
Enumeration date
04/19/2018
Last updated
04/15/2020
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