Organization
LAGOMCARE, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE GRIER NP (CFO)
(310) 887-1112
Entity
Organization
Contact information
Practice address
5830 OVERHILL DR STE 1, LOS ANGELES, CA 90043-2710
(310) 887-1112
Mailing address
PO BOX 452513, LOS ANGELES, CA 90045-8534
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
08/08/2021
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