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Organization
SOUTHBAY FAMILY MEDICAL CLINIC
Active
Organization
SOUTHBAY FAMILY MEDICAL CLINIC
Active
Other names
Southbay Family medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHRIKANT TAMHANE M.D. (DIRECTOR)
(310) 834-5388
Entity
Organization
Contact information
Practice address
23517 MAIN ST, SUITE # 103, CARSON, CA 90745-5251
(310) 834-5388
Mailing address
23517 S MAIN ST., SUITE # 103, CARSON, CA 90745
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
19910
CA
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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