Organization
SAN ANTONIO INGLEWOOD MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GERKE M.D (DIRECTOR)
(310) 673-1922
Entity
Organization
Contact information
Practice address
10811 S GREVILLEA AVE, LENNOX, CA 90304-2325
(310) 673-1922
(310) 673-7701
Mailing address
10811 S GREVILLEA AVE, LENNOX, CA 90304-2325
(310) 673-1922
(310) 673-7701
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
GO59290
CA
Other
Enumeration date
04/29/2008
Last updated
04/30/2008
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