Organization
CENTER FOR SPECIALTY CARE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESE HERNANDEZ (SENIOR VP)
(310) 640-9911
Entity
Organization
Contact information
Practice address
500 N NASH ST, EL SEGUNDO, CA 90245-2817
(310) 640-9911
Mailing address
500 N NASH ST, EL SEGUNDO, CA 90245-2817
(310) 640-9911
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Enumeration date
01/19/2006
Last updated
08/22/2020
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