Organization
T.V.SCOTT, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY VAN SCOTT M.D. (PRESIDENT)
(310) 673-5774
Entity
Organization
Contact information
Practice address
323 N PRAIRIE AVE, SUITE 201, INGLEWOOD, CA 90301-4502
(310) 673-5774
(310) 673-9729
Mailing address
323 N PRAIRIE AVE, SUITE 201, INGLEWOOD, CA 90301-4502
(310) 673-5774
(310) 673-9729
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
C34027
CA
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOC340270
—
CA
Enumeration date
07/08/2013
Last updated
07/08/2013
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