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Organization

SOUTHBAY FAMILY MEDICAL CLINIC

Active
Other names
Southbay Family medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHRIKANT TAMHANE M.D. (DIRECTOR)
(310) 834-5388
Entity
Organization

Contact information

Practice address
23517 MAIN ST, SUITE # 103, CARSON, CA 90745-5251
(310) 834-5388
Mailing address
23517 S MAIN ST., SUITE # 103, CARSON, CA 90745

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
19910
CA

Other

Enumeration date
11/03/2011
Last updated
11/03/2011
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