Sonrisas Latinas Medical Group
General Practice in Arleta, CA. Organization (NPI-2).
NPI number1164041331
StatusActive
Last updated in NPPESApr 23, 2024
Details
- NPI
- 1164041331
- Entity type
- Organization (NPI-2)
- Legal business name
- Sonrisas Latinas Medical Group
- Organization subpart
- No
- Enumeration date
- Apr 8, 2020
- Certification date
- Apr 23, 2024
- Last updated
- Apr 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
8648 Woodman Ave Unit 106Arleta, CA 91331-6503
Phone 818-830-2866 · Fax 818-830-2856
Mailing address
8648 Woodman Ave Unit 106Arleta, CA 91331-6503
Phone 818-830-2866 · Fax 818-830-2856
Authorized official
Michael Lepera
Provider
8188302866
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