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NPI Code Detail

MEDICARE: RENE MAURICE POINDEXTER

MEDICARE: RENE MAURICE POINDEXTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1366567240
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENE MAURICE POINDEXTER
Provider Business Mailing Address
First Line : 1034 W 49TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90037-2922
Country : US
Telephone Number : 323-404-2808
Fax Number :
Provider Business Practice Location Address
First Line : 2010 E EL SEGUNDO BLVD
Second Line :
City : COMPTON
State : CA
Zip : 90222-7109
Country : US
Telephone Number : 310-637-0917
Fax Number : 310-637-0473
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 07/08/2007

Similar Medicare Providers

1356437495 — LUIS GARCIA
Practice Location Address:
2010 E EL SEGUNDO BLVD
COMPTON, CA
90222-7109
Practice Phone: 310-637-0917
Practice Fax:
1679698575 — JOHNNIE HEARD BA
Practice Location Address:
2010 E EL SEGUNDO BLVD
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1295853745 — CHRISTOPHER M RIDGEWAY HS
Practice Location Address:
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90222-7109
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Practice Fax: 310-637-0473
1568580298 — WESLEY ALEXANDER RUSSELL II BA
Practice Location Address:
2010 E EL SEGUNDO BLVD
COMPTON, CA
90222-7109
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Practice Fax: 310-637-0473
1477715340 — JESSICA R POLK LCSW
Practice Location Address:
2010 E EL SEGUNDO BLVD
COMPTON, CA
90222-7109
Practice Phone: 310-637-0917
Practice Fax: 310-637-0473
1396997763 — VALERIE A WILLIAMS
Practice Location Address:
2010 E EL SEGUNDO BLVD , 2010 E. EL SEGUNDO
COMPTON, CA
90222-7109
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Practice Fax:

Directions to “ RENE MAURICE POINDEXTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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