| NPI | 1982588737 |
|---|---|
| Doing Business As | AERICKS HEALTHCARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | LEO MALLO Administrator 310-736-5766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-22 |