IVOR H. HAREWOOD M.D FACS AMC NPI 1073729497

NPI Information

IVOR H. HAREWOOD, M.D, FACS AMC is a primary care clinic center in Los Angeles, CA. IVOR H. HAREWOOD, M.D, FACS AMC NPI is 1073729497. The provider is registered as an organization entity type.
The provider Is Doing Business As Regent Specialists Medical Clinic.

The provider's business location address is:

3701 STOCKER ST
SUITE 100
LOS ANGELES, CA
ZIP 90008-108
Phone: (323) 296-6942
Fax: (323) 299-1651

The provider's authorized official is Ivor H. Harewood .
The authorized official title is President and has the following contact phone number (323) 296-6942.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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