LA PAZ MEDICAL CLINIC INC NPI 1124452875

NPI Information

LA PAZ MEDICAL CLINIC, INC is a primary care clinic center in Duarte, CA. LA PAZ MEDICAL CLINIC, INC NPI is 1124452875. The provider is registered as an organization entity type.

The provider's business location address is:

1345 HUNTINGTON DR
DUARTE, CA
ZIP 91010-527
Phone: (626) 359-8604

The provider's authorized official is Richard Berton Mantell .
The authorized official title is Owner and has the following contact phone number (626) 359-8604.

The CLIA number assigned to this NPI record is 05D2057505 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2013 and was last updated on 8/29/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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