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Organization
SUNDARAM FAMILY MEDICAL CLINIC INC.
Active
Organization
SUNDARAM FAMILY MEDICAL CLINIC INC.
Active
Other names
SUNDARAM FAMILY MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAWAHAR SUNDARAM M.D (OWNER)
(562) 699-5888
Entity
Organization
Contact information
Practice address
9217 WHITTIER BLVD, PICO RIVERA, CA 90660-2450
(562) 699-5888
(562) 699-2955
Mailing address
9217 WHITTIER BLVD, PICO RIVERA, CA 90660-2450
(562) 699-5888
(562) 699-2955
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A67659
CA
207Q00000X
Family Medicine Physician
A92178
CA
207Q00000X
Family Medicine Physician
PA15565
CA
207Q00000X
Family Medicine Physician
PA19004
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20A7566
—
CA
05
—
PA21327
—
CA
05
—
PA21547
—
CA
Enumeration date
09/30/2009
Last updated
06/16/2011
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