Organization
PREFERRED PHYSICIAN PROVIDERS INC
Active
Organization
PREFERRED PHYSICIAN PROVIDERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT PRENTICE NICKELL PHARMACIST (CEO)
(310) 783-7450
Entity
Organization
Contact information
Practice address
381 VAN NESS AVE, SUITE 1507, TORRANCE, CA 90501-6224
(310) 783-7450
(310) 347-4188
Mailing address
381 VAN NESS AVE, SUITE 1507, TORRANCE, CA 90501-6224
(310) 783-7450
(310) 347-4188
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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