Organization
COMMONWEALTH MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN PHILPOTT (ADMINISTRATOR)
(562) 668-2466
Entity
Organization
Contact information
Practice address
409 N PCH HWY # 166, REDONDO BEACH, CA 90277-2870
(832) 380-3626
(832) 916-2127
Mailing address
409 N PCH HWY # 166, REDONDO BEACH, CA 90277-2870
(832) 380-3626
(832) 916-2127
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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