| NPI | 1073832887 |
|---|---|
| Doing Business As | INGLEWOOD FAMILY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBIN DEANNA RILEY-GARNER Sec/Tres 310-677-3595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A61290) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA14869) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |