Organization
TWEETY FAMILY CLINIC INC
Active
Organization
TWEETY FAMILY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAGAIE LAMIE HAKIM M.D (PRESIDENT)
(323) 357-0700
Entity
Organization
Contact information
Practice address
3050 TWEEDY BLVD, SOUTH GATE, CA 90280-5742
(323) 357-0700
Mailing address
3050 TWEEDY BLVD, SOUTH GATE, CA 90280-5742
(323) 357-0700
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
A056354
CA
Other
Enumeration date
12/12/2007
Last updated
02/14/2013
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