Organization
MATERNAL-FETAL MEDICINE ASSOCIATES A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY OGUNDIPE MD (PRESIDENT/OWNER)
(310) 603-2345
Entity
Organization
Contact information
Practice address
3628 E IMPERIAL HWY, STE 200, LYNWOOD, CA 90262-2646
(310) 603-2345
Mailing address
3628 E. IMPERIAL HWY., SUITE 200, LYNWOOD, CA 90262-2646
(310) 603-2345
(310) 603-2345
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0073050
—
CA
Enumeration date
10/24/2006
Last updated
02/18/2016
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