Organization
MERIDIAN MEDICAL GROUP, P.C.
Active
Other names
CENTINELA MEDICAL CENTER CLINICS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY C DIKE MD (MEDICAL DIRECTOR)
(323) 434-4626
Entity
Organization
Contact information
Practice address
20300 S VERMONT AVE STE 215, TORRANCE, CA 90502-1334
(323) 295-5062
(310) 693-8082
Mailing address
20300 S VERMONT AVE STE 215, TORRANCE, CA 90502-1334
(323) 434-4626
(310) 693-8082
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0043390
—
CA
Enumeration date
06/12/2006
Last updated
09/25/2020
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