Organization
REGENT MEDICAL GROUP LABORATORY
Active
Organization
REGENT MEDICAL GROUP LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY W HAWKINS M.D. (ADMINISTRATOR)
(310) 674-5353
Entity
Organization
Contact information
Practice address
644 E REGENT ST, SUITE 200, INGLEWOOD, CA 90301-1433
(310) 674-5353
(310) 674-7041
Mailing address
644 E REGENT ST, SUITE 200, INGLEWOOD, CA 90301-1433
(310) 674-5353
(310) 674-7041
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLA312840
CA
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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