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General NPI Number Information
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NPI Number | 1588868640
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Entity Type | Organization
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Legal Business Name | HP COMMUNITY CARE MEDICAL ASSOCIATES INC
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5600 PACIFIC BLVD
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-2537
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Country | US
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Telephone | 323-585-8777
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Fax | 323-585-8889
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Provider Business Mailing Address
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Address Line | PO BOX 2910
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City | PALOS VERDES PENINSULA
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State | CA
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Zip | 90274-8910
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Country | US
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Telephone | 323-585-8777
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Fax | 323-585-8889
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. AUGUSTINE ILUORE
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Credential |
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Telephone | 323-585-8777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A053317
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A053317
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License Number State | CA
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