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General NPI Number Information
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NPI Number | 1699008466
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Entity Type | Organization
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Legal Business Name | MEDINEX MEDICAL GROUP, APC
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Dates
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Enumeration Date | 09/11/2009
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Last Update Date | 05/24/2011
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Provider Practice Location Address
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Address Line | 1117 W MANCHESTER BLVD SUITE K
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City | INGLEWOOD
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State | CA
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Zip | 90301-1500
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Country | US
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Telephone | 310-215-3555
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Fax | 310-215-3587
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Provider Business Mailing Address
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Address Line | 1117 W MANCHESTER BLVD SUITE K
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City | INGLEWOOD
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State | CA
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Zip | 90301-1500
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Country | US
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Telephone | 310-215-3555
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Fax | 310-215-3587
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. JAMSHID JAMES SHARIATI
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Credential | MD
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Telephone | 310-215-3555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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