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05D0553670 CLIA NUMBER - COR HEALTHCARE MEDICAL ASSOCIATES

Laboratory Demographics

CLIA Number: 05D0553670

Facility Name: COR HEALTHCARE MEDICAL ASSOCIATES

Facility Address:
1360 W 6TH STE 315
SAN PEDRO, CA
ZIP 90732
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Facility Phone Number: 310 547-9922

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1699864215

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 05D0553670
LAB Type Physician Office
Facility Name COR HEALTHCARE MEDICAL ASSOCIATES
Street 1360 W 6TH STE 315
City SAN PEDRO
State CA
ZIP 90732
Phone 310 547-9922
CertificateType 4
CertificateEffectiveDate 6/1/2023
CertificateExpirationDate 5/31/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024