NPI: 1356748123
Provider Name: JREH MEDICAL CLINIC INC. DBA
Doing Business As: CLINICA VIRGEN GUADALUPE
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization
Specialization: Nursing Care, Pediatric
Address:
615 S ATLANTIC BLVD
LOS ANGELES, CA
ZIP 90022
Phone: (323) 399-3000
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JREH MEDICAL CLINIC INC. DBA is a nursing care and pediatric skilled nursing facility in Los Angeles, CA. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. JREH MEDICAL CLINIC INC. DBA NPI is 1356748123. The provider is registered as an organization entity type.
The provider Is Doing Business As Clinica Virgen Guadalupe.
The provider's business location address is:
615 S ATLANTIC BLVD
LOS ANGELES, CA
ZIP 90022-211
Phone: (323) 399-3000
The provider's authorized official is Alva Marsh .
The authorized official title is Physician and has the following contact phone number (323) 399-3000.
The enumeration date for this NPI number is 11/21/2014 and was last updated on 11/21/2014.