Organization
ONE HEALTH MEDICAL GROUP INC
Active
Organization
ONE HEALTH MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY DAVENPORT (ADMINISTRATOR)
(773) 412-4653
Entity
Organization
Contact information
Practice address
3630 E IMPERIAL HWY STE 55B, LYNWOOD, CA 90262-2609
(310) 722-1108
(310) 362-8957
Mailing address
3630 E IMPERIAL HWY # 55B, LYNWOOD, CA 90262-2609
(310) 722-1108
(310) 362-8957
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
08/13/2025
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