Aericks Medical Clinic INC
Family Medicine in Inglewood, CA. Organization (NPI-2).
NPI number1982588737
StatusActive
Last updated in NPPESAug 22, 2025
Details
- NPI
- 1982588737
- Entity type
- Organization (NPI-2)
- Legal business name
- Aericks Medical Clinic INC
- Organization subpart
- No
- Enumeration date
- Aug 4, 2025
- Certification date
- Aug 22, 2025
- Last updated
- Aug 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 363LP2300X | Nurse Practitioner, Primary Care | – | – |
Other names
- Aericks Healthcare Clinic (Doing Business As)
Practice location
645 Aerick St Ste 2Inglewood, CA 90301-4883
Phone 310-810-1058
Mailing address
645 Aerick St Ste 2Inglewood, CA 90301-4883
Phone 310-810-1058
Authorized official
Leo Mallo
Administrator
3107365766
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