Organization
LOS ANGELES COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA EPSTEIN MD (AREA HEALTH OFFICER)
(310) 419-5301
Entity
Organization
Contact information
Practice address
123 W MANCHESTER BLVD, INGLEWOOD, CA 90301-1753
(310) 419-5384
(310) 677-5777
Mailing address
123 W MANCHESTER BLVD, INGLEWOOD, CA 90301-1753
(310) 419-5384
(310) 677-5777
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A42151
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A42151
MEDICAL LICENSE NUMBER
CA
Enumeration date
10/27/2006
Last updated
08/22/2020
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