Organization
EL SEGUNDO MEDICAL CENTER INC
Active
Organization
EL SEGUNDO MEDICAL CENTER INC
Active
Other names
Centinela Medical Center El Segundo
Organization subpart
No
Provider details
NPI number
Authorized official
ARNOLD CHANIN MD (MEDICAL DIRECTOR PRESIDENT)
(310) 322-1611
Entity
Organization
Contact information
Practice address
455 MAIN STREET, EL SEGUNDO, CA 90245
(310) 322-1611
(310) 322-4589
Mailing address
455 MAIN STREET, EL SEGUNDO, CA 90245
(310) 322-1611
(310) 322-4589
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
22969
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0079113
—
CA
01
—
ZZZ64726Z
BLUE SHIELD
CA
Enumeration date
11/01/2006
Last updated
08/22/2020
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