Provider Demographics
NPI:1912148347
Name:SVC MEDICAL MANAGEMENT, LLC.
Entity type:Organization
Organization Name:SVC MEDICAL MANAGEMENT, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IGNACIO
Authorized Official - Middle Name:
Authorized Official - Last Name:VALDOVINOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-602-8844
Mailing Address - Street 1:1200 S INGLEWOOD AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-8123
Mailing Address - Country:US
Mailing Address - Phone:562-602-8844
Mailing Address - Fax:562-602-8844
Practice Address - Street 1:1200 S INGLEWOOD AVE STE 210
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-8123
Practice Address - Country:US
Practice Address - Phone:562-602-8844
Practice Address - Fax:562-602-8844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-15
Last Update Date:2009-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty