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Organization
AERICKS MEDICAL CLINIC INC
Active
Organization
AERICKS MEDICAL CLINIC INC
Active
Other names
AERICKS HEALTHCARE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
LEO MALLO JR. ETC (ADMINISTRATOR)
(310) 736-5766
Entity
Organization
Contact information
Practice address
645 AERICK ST STE 2, INGLEWOOD, CA 90301-4883
(310) 810-1058
Mailing address
645 AERICK ST STE 2, INGLEWOOD, CA 90301-4883
(310) 810-1058
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
08/04/2025
Last updated
08/22/2025
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