Organization · NPI-2

A. Marsh Medical Clinic

Internal Medicine · Los Angeles, CA

NPI number1609269885
StatusActive
Last updated in NPPESMar 12, 2015

Details

NPI
1609269885
Entity type
Organization (NPI-2)
Legal business name
A. Marsh Medical Clinic
Organization subpart
No
Enumeration date
Mar 11, 2015
Last updated
Mar 12, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineC22547CAYes
207RH0000X Internal Medicine, HematologyC22547CA
207RH0003X Internal Medicine, Hematology & OncologyC22547CA
363AM0700X Physician Assistant, MedicalPA15732CA

Other names

  • Clinica Virgen Guadalupe (Doing Business As)

Practice location

615 S Atlantic Blvd
Los Angeles, CA 90022-3211

Phone 323-604-9591 · Fax 323-604-9594

Mailing address

615 S Atlantic Blvd
Los Angeles, CA 90022-3211

Phone 323-604-9591 · Fax 323-604-9594

Authorized official

Alva A Marsh
President
3236049591

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