San Antonio Lennox

NPI #1033303920 in Lennox, California

Provider Information

NPI Number: 1033303920
Entity Type: Organization
Organization Name: San Antonio Lennox
Primary Specialty: General Practice
Enumeration Date: Sep 4, 2007
Last Updated: Sep 4, 2007

Practice Location

Address: 10811 S GREVILLEA AVE
City: Lennox
State: California
ZIP Code: 90304-2325
Phone: (310) 673-1922

Authorized Official

Name: MANUEL ERNESTO ACEVEDO, M.D
Title: MEDICAL DIRECTOR
Phone: (310) 673-1922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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