Organization
BALWIN CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB EDEM (ADMINISTRATOR)
(213) 718-1473
Entity
Organization
Contact information
Practice address
4508 W IMPERIAL HWY # B, INGLEWOOD, CA 90304-2710
(213) 718-1473
Mailing address
3700 WILSHIRE BLVD, SUITE 422, LOS ANGELES, CA 90010-2901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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