Organization
COUNTY OF LOS ANGELES
Active
Organization
COUNTY OF LOS ANGELES
Active
Other names
Harbor-UCLA Primary Care - Advanced Practices Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANISH MAHAJAN MD (CHIEF EXECUTIVE OFFICER)
(424) 306-6580
Entity
Organization
Contact information
Practice address
1000 W CARSON ST., PCDC MODULE B&C, TORRANCE, CA 90502
(424) 306-4546
Mailing address
1000 W CARSON ST, BOX 459, TORRANCE, CA 90502
(310) 532-7600
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2017
Last updated
02/11/2022
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