Organization Name: | MEIHEIR MEDICAL GROUP, PC |
NPI Number: | 1063479657 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRANFORD LAVERN SCOTT (PRESIDENT / MEDICAL DIRECOT) |
Mailing Address: | 629 E Hardy St Inglewood |
State: | CA US |
Postal Code: | 903014106 |
Phone Number: | 3106736581 |
Fax Number: | 3104194493 |
NPI Enumeration Date: | 04/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | C32142 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |