Maywood Family Medical Center
Clinic/Center in Maywood, CA. Organization (NPI-2).
NPI number1801184841
StatusActive
Last updated in NPPESJul 12, 2011
Details
- NPI
- 1801184841
- Entity type
- Organization (NPI-2)
- Legal business name
- Maywood Family Medical Center
- Organization subpart
- No
- Enumeration date
- Jul 12, 2011
- Last updated
- Jul 12, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | A45155 | CA | Yes |
Practice location
5920 Atlantic BlvdMaywood, CA 90270-3101
Phone 323-562-2535 · Fax 323-562-2558
Mailing address
5920 Atlantic BlvdMaywood, CA 90270-3101
Phone 323-562-2535 · Fax 323-562-2558
Authorized official
Ragaa Z. Iskarous
Chief Executive Officer
5625227413
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