Organization
DOROTHY MAE MEDICAL CLINIC INC.
Active
Other names
Dorothy Mae Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JEROME SINGLETON M.D. (CEO)
(310) 600-6046
Entity
Organization
Contact information
Practice address
8880 S BROADWAY, LOS ANGELES, CA 90003-3635
(323) 750-1196
(323) 750-0330
Mailing address
PO BOX 5167, OCEANSIDE, CA 92052-5167
(323) 750-1196
(323) 750-0330
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A064610
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W14542
GROUP PTAN
CA
Enumeration date
12/12/2006
Last updated
03/31/2016
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