LA CLINICA LATINA LLC is a clinic center in Milwaukee, WI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). LA CLINICA LATINA LLC NPI is 1003433830. The provider is registered as an organization entity type.
The provider's business location address is:
1238 S CESAR E CHAVEZ DR
MILWAUKEE, WI
ZIP 53204-267
Phone: (414) 645-6666
Fax: (414) 645-6732
The provider's authorized official is Nedal Mejalli .
The authorized official title is Registered Agent and has the following contact phone number (414) 645-6665.
The CLIA number assigned to this NPI record is 52D2196331 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/27/2020 and was last updated on 6/27/2020.