05D1060354 CLIA NUMBER - CLINICA MEDICA SAN FELIPE

Laboratory Demographics

CLIA Number: 05D1060354

Facility Name: CLINICA MEDICA SAN FELIPE

Facility Address:
210 S LOCUST ST
INGLEWOOD, CA
ZIP 90301
Get Directions

Facility Phone Number: 310 673-9920

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1114053279

Taxonomy: 207Q00000X - Family Medicine
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.

CLIA Record

Field Name	Field Value
CLIA Number	05D1060354
LAB Type	Physician Office
Facility Name	CLINICA MEDICA SAN FELIPE
Street	210 S LOCUST ST
City	INGLEWOOD
State	CA
ZIP	90301
Phone	310 673-9920
CertificateType	4
CertificateEffectiveDate	10/20/2022
CertificateExpirationDate	10/19/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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