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Organization
SOUTH CENTRAL MEDICAL CLINIC
Active
Organization
SOUTH CENTRAL MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUINTA CUNNINGHAM (AUTHORIZE OFFICIAL)
(323) 756-1412
Entity
Organization
Contact information
Practice address
10024 S VERMONT AVE, LOS ANGELES, CA 90044-3112
(323) 756-1412
(323) 756-1413
Mailing address
10024 S VERMONT AVE, LOS ANGELES, CA 90044-3112
(323) 756-1412
(323) 756-1413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/25/2020
Last updated
10/25/2020
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