ST. ANNE MEDICAL CLINIC PC NPI 1194904482

NPI Information

ST. ANNE MEDICAL CLINIC, PC is a primary care clinic center in Los Angeles, CA. ST. ANNE MEDICAL CLINIC, PC NPI is 1194904482. The provider is registered as an organization entity type.

The provider's business location address is:

2536 W TEMPLE ST.
LOS ANGELES, CA
ZIP 90026-848
Phone: (213) 385-7888
Fax: (213) 385-7887

The provider's authorized official is Anna Lourdes Armada Chickey .
The authorized official title is President and has the following contact phone number (562) 900-0379.

The CLIA number assigned to this NPI record is 05D1025487 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2007 and was last updated on 1/19/2011.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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