CONSULTORIO MEDICO LATINO MEDICAL CENTER NPI 1518996313

NPI Information

CONSULTORIO MEDICO LATINO MEDICAL CENTER is a family medicine in Paramount, 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. CONSULTORIO MEDICO LATINO MEDICAL CENTER NPI is 1518996313. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15730 PARAMOUNT BLVD
PARAMOUNT, CA
ZIP 90723-333
Phone: (562) 634-1000
Fax: (562) 634-3048

The provider's authorized official is Behrooz Bruce Yagoobian .
The authorized official title is President and has the following contact phone number (562) 634-1000.

The CLIA number assigned to this NPI record is 05D0900734 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 3/30/2015.

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:

Other Identifiers

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

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