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General NPI Number Information
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NPI Number | 1033390463
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Entity Type | Individual
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Provider Name | PHILLIP GORDON MCKINLEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 323 N PRAIRIE AVE STE 401
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City | INGLEWOOD
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State | CA
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Zip | 90301-4506
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Country | US
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Telephone | 310-693-0483
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Fax |
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Provider Business Mailing Address
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Address Line | 5219 REYNIER AVE
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City | LOS ANGELES
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State | CA
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Zip | 90056-1018
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Country | US
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Telephone | 310-410-0190
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G80553
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | G80553
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License Number State | CA
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