Organization
AERICKS MEDICAL CLINIC INC
Active
Other names
AERICKS HEALTHCARE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
LEO MALLO JR. ETC (ADMINISTRATOR)
(310) 736-5766
Entity
Organization
Contact information
Practice address
645 AERICK ST STE 2, INGLEWOOD, CA 90301-4883
(310) 810-1058
Mailing address
645 AERICK ST STE 2, INGLEWOOD, CA 90301-4883
(310) 810-1058
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
08/04/2025
Last updated
08/22/2025
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