Organization
IVOR H. HAREWOOD, M.D, FACS AMC
Active
Other names
Regent Specialists Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVOR H. HAREWOOD M.D. (PRESIDENT)
(323) 296-6942
Entity
Organization
Contact information
Practice address
3701 STOCKER ST, SUITE 100, LOS ANGELES, CA 90008-5108
(323) 296-6942
(323) 299-1651
Mailing address
PO BOX 8387, LOS ANGELES, CA 90008-0387
(323) 296-6942
(323) 299-1651
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G23311
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G233110
—
CA
Enumeration date
05/15/2007
Last updated
08/22/2020
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