MEDICARE: AXMINSTER MEDICAL GROUP INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	208000000X	Pediatrics Physician
3	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	ZZZ24681Z	OTHER	CA	BLUE SHIELD

General Provider Information

NPI Number	:	1942293279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AXMINSTER MEDICAL GROUP INC.

Provider Business Mailing Address
First Line	:	12618 HAWTHORNE BLVD.
Second Line	:
City	:	HAWTHORNE
State	:	CA
Zip	:	90250-2325
Country	:	US
Telephone Number	:	310-263-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	12618 HAWTHORNE BLVD.
Second Line	:
City	:	HAWTHORNE
State	:	CA
Zip	:	90250-2325
Country	:	US
Telephone Number	:	310-263-5700
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ELIZABETH SANDER
Credential	:	MD
Telephone Number	:	310-792-4060

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	07/21/2022

Similar Medicare Providers

1518968536 — RAYMOND JING MD
Practice Location Address:

12618 HAWTHORNE BLVD.
HAWTHORNE, CA
90250-2325

Practice Phone: 310-263-5700
Practice Fax:

1114928744 — MAUREEN ONEILL MD
Practice Location Address:

12618 HAWTHORNE BLVD.
HAWTHORNE, CA
90250-2325

Practice Phone: 310-263-5700
Practice Fax:

1023019411 — LOUIS SMOLENSKY MD
Practice Location Address:

11539 HAWTHORNE BLVD , 6TH FLOOR
HAWTHORNE, CA
90250-2325

Practice Phone: 310-875-5370
Practice Fax: 310-531-2084

1649271040 — SPENCER H WENGER MD
Practice Location Address:

12618 HAWTHORNE BLVD.
HAWTHORNE, CA
90250-2325

Practice Phone: 310-263-5700
Practice Fax:

1760484430 — DORIS RAGLAND MD
Practice Location Address:

12618 HAWTHORNE BLVD.
HAWTHORNE, CA
90250-2325

Practice Phone: 310-263-5700
Practice Fax:

1225046667 — LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Practice Location Address:

11539 HAWTHORNE BLVD
HAWTHORNE, CA
90250-2325

Practice Phone: 310-263-2155
Practice Fax:

Directions to “AXMINSTER MEDICAL GROUP INC. ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.