Organization
WEST GARDENA COMMUNITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELAINE EMMA WYNN (OFFICER)
(310) 766-2500
Entity
Organization
Contact information
Practice address
2233 W ROSECRANS AVE, GARDENA, CA 90249-2905
(310) 766-2500
(866) 329-0742
Mailing address
2233 W ROSECRANS AVE, GARDENA, CA 90249-2905
(310) 766-2500
(866) 329-0742
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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