PICO CLINICA MEDICA LATINA, A MEDICAL GROUP, INC is a general practice in Los Angeles, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee PICO CLINICA MEDICA LATINA, A MEDICAL GROUP, INC NPI is 1740329101. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
1600 W PICO BLVD
LOS ANGELES, CA
ZIP 90015-410
Phone: (213) 386-5252
Fax: (213) 386-5323
The provider's authorized official is Teresita Alonzo Zareno .
The authorized official title is Vice President and has the following contact phone number (213) 386-5252.
The CLIA number assigned to this NPI record is 05D0856649 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/5/2007 and was last updated on 12/9/2009.