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LOS ANGELES CLINICA MEDICA GENERAL MEDICAL CENTER INC. NPI 1003469214


NPI Information

NPI: 1003469214
Provider Name: LOS ANGELES CLINICA MEDICA GENERAL MEDICAL CENTER, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D1004861

Address:
7400 PACIFIC BLVD STE AB
HUNTINGTON PARK, CA
ZIP 90255
Phone: (323) 583-8383
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LOS ANGELES CLINICA MEDICA GENERAL MEDICAL CENTER, INC. is a family medicine in Huntington Park, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LOS ANGELES CLINICA MEDICA GENERAL MEDICAL CENTER, INC. NPI is 1003469214. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7400 PACIFIC BLVD STE AB
HUNTINGTON PARK, CA
ZIP 90255-954
Phone: (323) 583-8383
Fax: (323) 583-8399

The provider's authorized official is Jose L Carrillo .
The authorized official title is Office Manager and has the following contact phone number (213) 739-3282.

The CLIA number assigned to this NPI record is 05D1004861 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2019 and was last updated on 7/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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