Provider Demographics
NPI:1922199694
Name:FRIENDS & FAMILY MEDICAL CLINIC, INC.
Entity Type:Organization
Organization Name:FRIENDS & FAMILY MEDICAL CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SADEGHPANAHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-671-6364
Mailing Address - Street 1:501 E HARDY ST STE 205
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-4021
Mailing Address - Country:US
Mailing Address - Phone:310-671-6364
Mailing Address - Fax:310-671-8184
Practice Address - Street 1:501 E HARDY ST STE 205
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-4021
Practice Address - Country:US
Practice Address - Phone:310-671-6364
Practice Address - Fax:310-671-8184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty