Organization
SAN PEDRO MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA KUTSINA (MANAGER)
(310) 831-9080
Entity
Organization
Contact information
Practice address
715 S AVERILL AVE, SAN PEDRO, CA 90732-3813
(310) 831-9080
(310) 831-9081
Mailing address
715 S AVERILL AVE, SAN PEDRO, CA 90732-3813
(310) 831-9080
(310) 831-9081
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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