Organization
CENTINELA HOUSE PHYSICIANS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAX F LEBOW M.D. (OWNER)
(310) 673-4660
Entity
Organization
Contact information
Practice address
555 E HARDY ST, INGLEWOOD, CA 90301-4011
(310) 673-4660
Mailing address
555 E HARDY ST, INGLEWOOD, CA 90301-4011
(310) 673-4660
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0092520
—
CA
Enumeration date
06/17/2006
Last updated
07/21/2022
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