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1760466700
MADISON PARK FAMILY MEDICAL
REDONDO BEACH, CA
NPI
1760466700
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Entity Type
Organization
Authorized Contact
NEDA BAYAT
Do
310-944-9344
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A7340)
Enumeration Date
2005-12-02
Last Update Date
2007-11-13
Business Address
MADISON PARK FAMILY MEDICAL
1970 SO PROSPECT AVE SUITE 3
REDONDO BEACH, CA 90277
Phone number: 310-944-9344
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Mailing Address
MADISON PARK FAMILY MEDICAL
1970 SO PROSPECT AVE SUITE 3
REDONDO BEACH, CA 90277
Phone number: 310-944-9344
Copy
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