CLINICA DEL SOCORRO MEDICAL GROUPINC. NPI 1215263827

NPI Information

CLINICA DEL SOCORRO MEDICAL GROUP,INC. is a family medicine in Los Angeles, CA. The provider is 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. CLINICA DEL SOCORRO MEDICAL GROUP,INC. NPI is 1215263827. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1061 E VERNON AVE
SUITE 'F'
LOS ANGELES, CA
ZIP 90011-772
Phone: (323) 233-9686
Fax: (323) 233-0595

The provider's authorized official is Patrick B. Lawrence .
The authorized official title is Director and has the following contact phone number (323) 233-9686.

The CLIA number assigned to this NPI record is 05D1107253 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2009 and was last updated on 11/18/2009.

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

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