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CLINICA LOS REMEDIOS MEDICAL GROUP NPI 1174764351


NPI Information

NPI: 1174764351
Provider Name: CLINICA LOS REMEDIOS MEDICAL GROUP
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2400 W 7TH ST STE 114
LOS ANGELES, CA
ZIP 90057
Phone: (213) 389-9595
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CLINICA LOS REMEDIOS MEDICAL GROUP is a pediatrics in Los Angeles, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CLINICA LOS REMEDIOS MEDICAL GROUP NPI is 1174764351. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2400 W 7TH ST STE 114
LOS ANGELES, CA
ZIP 90057-008
Phone: (213) 389-9595
Fax: (213) 389-2556

The provider's authorized official is Raynaldo Limpin Makabali .
The authorized official title is President and has the following contact phone number (213) 389-9595.

The enumeration date for this NPI number is 3/17/2009 and was last updated on 3/17/2009.


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
1208D00000XGeneral PracticeA51157CALIFORNIANo
2208000000XPediatricsA51157CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0065990MEDICAIDCALIFORNIA

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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