Organization
CLARENCE M. HYSHAW M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE HYSHAW M.D. (PHYSICIAN)
(310) 673-2710
Entity
Organization
Contact information
Practice address
928 CENTINELA AVE, INGLEWOOD, CA 90302-1502
(310) 673-2710
Mailing address
928 CENTINELA AVE, INGLEWOOD, CA 90302-1502
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A26220
CA
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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