ALAS MEDICAL CLINIC INC. NPI 1063623387

NPI Information

NPI: 1063623387
Provider Name: ALAS MEDICAL CLINIC, INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 05D1019943

Address:
545 N SAN GABRIEL AVE
AZUSA, CA
ZIP 91702
Phone: (626) 815-1511
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ALAS MEDICAL CLINIC, INC. is a primary care clinic center in Azusa, CA. ALAS MEDICAL CLINIC, INC. NPI is 1063623387. The provider is registered as an organization entity type.

The provider's business location address is:

545 N SAN GABRIEL AVE
AZUSA, CA
ZIP 91702-939
Phone: (626) 815-1511
Fax: (626) 815-1504

The provider's authorized official is Juan Lempira Alas .
The authorized official title is President and has the following contact phone number (626) 815-1511.

The CLIA number assigned to this NPI record is 05D1019943 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2007 and was last updated on 12/29/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	A55051	CALIFORNIA	Yes

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: 5/5/2024

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