Organization
CHARLES DREW UNIVERSITY MULTI-SPECIALTY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BAKER MD (PRESIDENT)
(310) 669-8845
Entity
Organization
Contact information
Practice address
11722 WILMINGTON AVE, LOS ANGELES, CA 90059-2543
(323) 249-2000
Mailing address
3737 MARTIN LUTHER KING JR BLVD, SUITE 401, LYNWOOD, CA 90262-3513
(310) 669-8843
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/25/2008
Last updated
04/06/2009
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