05D1062010 CLIA NUMBER - CLINICA MEDICA CUZCATLAN

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Laboratory Demographics

CLIA Number: 05D1062010

Facility Name: CLINICA MEDICA CUZCATLAN

Facility Address:
3559 EAST GAGE AVE
BELL, CA
ZIP 90201
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Facility Phone Number: 323 581-8485

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1821215914

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	05D1062010
LAB Type	Physician Office
Facility Name	CLINICA MEDICA CUZCATLAN
Street	3559 EAST GAGE AVE
City	BELL
State	CA
ZIP	90201
Phone	323 581-8485
CertificateType	4
CertificateEffectiveDate	12/4/2022
CertificateExpirationDate	12/3/2024
FacilityType	Waiver

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