Organization
SCLA COMPREHENSIVE SURGICAL MEDICAL GROUP, INC.
Active
Organization
SCLA COMPREHENSIVE SURGICAL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXINE ANDERSON MD (OWNER)
(424) 213-4290
Entity
Organization
Contact information
Practice address
3628 E IMPERIAL HWY STE 204, LYNWOOD, CA 90262
(714) 808-9797
Mailing address
3628 E IMPERIAL HWY STE 204, LYNWOOD, CA 90262-2643
(424) 213-4290
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2018
Last updated
05/16/2018
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