Organization
BELL HOSPITAL CORP.
Active
Other names
American Cardio Care Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY A. OKONKWOAGUOLU MD, PHD (MEDICAL DIRECTOR)
(310) 674-1000
Entity
Organization
Contact information
Practice address
15603 HAWTHORNE BLVD, SUITE 102, LAWNDALE, CA 90260-2639
(310) 674-1000
Mailing address
PO BOX 4444Y, LOS ANGELES, CA 90044-0946
(310) 674-1000
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
FNP39403
CA
261QP2300X
Primary Care Clinic/Center
FNP39403
CA
261QP3300X
Pain Clinic/Center
FNP39403
CA
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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