Organization
ADVANCED FAMILY CARE MEDICAL GROUP INC
Active
Organization
ADVANCED FAMILY CARE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDOULAYE DIOP (MEDICAL DOCTOR)
(323) 588-0084
Entity
Organization
Contact information
Practice address
2704 W MANCHESTER BLVD, INGLEWOOD, CA 90305-2436
(323) 778-4310
Mailing address
2704 W MANCHESTER BLVD, INGLEWOOD, CA 90305-2436
(323) 778-4310
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
A33986
CA
261QM1300X
Multi-Specialty Clinic/Center
NMW1068
CA
261QP2300X
Primary Care Clinic/Center
G42217
CA
261QP2300X
Primary Care Clinic/Center
PA12322
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0077510
—
CA
Enumeration date
08/21/2007
Last updated
08/21/2007
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