SAN JUDAS TADEO MEDICAL GROUP, INC. is a general practice in Inglewood, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee SAN JUDAS TADEO MEDICAL GROUP, INC. NPI is 1417558842. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1000 S LA BREA AVE STE 2
INGLEWOOD, CA
ZIP 90301-869
Phone: (310) 330-4818
Fax: (310) 330-4822
The provider's authorized official is Rommel Gonzalez .
The authorized official title is Medical Director and has the following contact phone number (323) 821-4386.
The CLIA number assigned to this NPI record is 05D2101511 - community clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/3/2020 and was last updated on 11/3/2020.