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Organization
FATIMA MEDICAL CENTER INC
Active
Organization
FATIMA MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB EDEM (ADMINISTRATOR)
(213) 718-0970
Entity
Organization
Contact information
Practice address
3700 WILSHIRE BLVD, SUITE 422, LOS ANGELES, CA 90010-2901
(310) 674-1754
Mailing address
4508 W IMPERIAL HWY, INGLEWOOD, CA 90304-2710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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