Progressive Medical Group

NPI #1609086727 in Inglewood, California

Provider Information

NPI Number
1609086727
Entity Type
Organization
Organization Name
Progressive Medical Group
Subpart
Yes (part of a larger organization)
Parent Organization
YES
Primary Specialty
Internal Medicine
Enumeration Date
May 24, 2007
Last Updated
Oct 11, 2013

Practice Location

Address
1035 S PRAIRIE AVE
Address 2
STE. 1
ZIP Code
90301-5272
Phone
(310) 672-6500

Authorized Official

Name
DR. JOHN C. WEAVER, M.D.
Title
M.D.
Phone
(310) 672-6500

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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