Whalio Doctors

NPI 1073832887

Inglewood Family Medical Clinic Corp

Organisation Family Medicine Physician Inglewood, CA

Practice location

Address
3215 W Imperial Hwy, Inglewood, CA 90303-2810
Phone
(310) 677-3595
Fax
(310) 355-8373

Authorised official

Name
Robin Deanna Riley-Garner
Title
Sec/Tres
Phone
(310) 677-3595

Registered specialties (2)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence A61290 (CA)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA14869 (CA)

Registry record

NPI
1073832887
Entity type
Organization
NPI issued
19 May 2010
Record last updated
19 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.