Los Angeles Clinica Medica General Medical Center, INC.
Clinic/Center, Multi-Specialty in Los Angeles, CA. Organization (NPI-2).
NPI number1265489751
StatusActive
Last updated in NPPESJul 31, 2020
Details
- NPI
- 1265489751
- Entity type
- Organization (NPI-2)
- Legal business name
- Los Angeles Clinica Medica General Medical Center, INC.
- Organization subpart
- No
- Enumeration date
- May 28, 2006
- Certification date
- Jul 31, 2020
- Last updated
- Jul 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Practice location
2208 W 7th StLos Angeles, CA 90057-4002
Phone 213-384-3434 · Fax 213-386-2039
Mailing address
Po Box 10432Beverly Hills, CA 90213-3432
Phone 213-637-2530 · Fax 231-384-3373
Authorized official
Jose Luis Carrillo
Business Accounts Manager
2137393282
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