# NEO MEDICAL CENTRE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NEO MEDICAL CENTRE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811570633
- **Authorized official:** JENNIFER I ESTEY MLP-NURSE PRACTITION (SECRETARY)
- **Authorized official phone:** (424) 352-0326

## Contact information

- **Practice address:** 1403 LOMITA BLVD STE 307, HARBOR CITY, CA 90710-2085
- **Practice address phone:** (424) 352-0326
- **Mailing address:** 1403 LOMITA BLVD STE 307, HARBOR CITY, CA 90710-2085
- **Mailing address phone:** (424) 352-0326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/29/2021
- **Last updated:** 04/29/2021