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05D0917003 CLIA NUMBER - PERSONAL CARE MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 05D0917003

Facility Name: PERSONAL CARE MEDICAL CLINIC

Facility Address:
13132 STUDEBAKER ROAD SUITE 3
NORWALK, CA
ZIP 90650
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Facility Phone Number: 562 406-7070

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1689696536

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 05D0917003
LAB Type Physician Office
Facility Name PERSONAL CARE MEDICAL CLINIC
Street 13132 STUDEBAKER ROAD SUITE 3
City NORWALK
State CA
ZIP 90650
Phone 562 406-7070
CertificateType 4
CertificateEffectiveDate 12/17/2022
CertificateExpirationDate 12/16/2024
FacilityType Waiver

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