Organization
GOOD NEIGHBOR CLINIC A MEDICAL CORPORATION
Active
Other names
GOOD NEIGHBOR CLINIC, AMC, Good Neighbor Clinic Crenshaw Boulevard
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SHANE SHEIBANI DAVIDSON MD, MBA, DBA (ADMINISTRATOR)
(310) 212-1500
Entity
Organization
Contact information
Practice address
4300 CRENSHAW BLVD., LOS ANGELES, CA 90008
(323) 298-1668
(323) 298-0458
Mailing address
1270 S ALFRED ST UNIT 1064, LOS ANGELES, CA 90035-2506
(310) 212-1500
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
A31491
CA
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2014
Last updated
05/24/2024
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