Provider Demographics
NPI:1053160077
Name:CITI SCOPE MEDICAL STAFFING AGENCY LLC
Entity type:Organization
Organization Name:CITI SCOPE MEDICAL STAFFING AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:KWESI
Authorized Official - Last Name:YAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-392-2844
Mailing Address - Street 1:1026 S BROADWAY APT 739
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90015-4150
Mailing Address - Country:US
Mailing Address - Phone:562-392-2844
Mailing Address - Fax:
Practice Address - Street 1:1026 S BROADWAY
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-4086
Practice Address - Country:US
Practice Address - Phone:562-392-2844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service