Organization
BELL HOSPITAL CORPORATION
Active
Other names
American Cardio Care Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY A. OKONKWOAGUOLU MD, PHD (MEDICAL DIRECTOR)
(310) 674-1000
Entity
Organization
Contact information
Practice address
15603 HAWTHORNE BLVD, SUITE 200, LAWNDALE, CA 90260-2639
(310) 674-1000
Mailing address
PO BOX 425, LAWNDALE, CA 90260-0425
(310) 674-1000
(310) 679-4035
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
FNP39403
CA
Other
Enumeration date
07/08/2010
Last updated
07/29/2010
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