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CLINICA MEDICA FAMILIAR SAN JUDAS INC NPI 1225254055


NPI Information

NPI: 1225254055
Provider Name: CLINICA MEDICA FAMILIAR SAN JUDAS INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D1012498

Address:
3900 W 3RD ST
LOS ANGELES, CA
ZIP 90020
Phone: (213) 427-0400
Get Directions

CLINICA MEDICA FAMILIAR SAN JUDAS 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 MEDICA FAMILIAR SAN JUDAS INC NPI is 1225254055. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3900 W 3RD ST
LOS ANGELES, CA
ZIP 90020-675
Phone: (213) 427-0400

The provider's authorized official is Jose A Ortiz .
The authorized official title is Owner and has the following contact phone number (213) 427-0400.

The CLIA number assigned to this NPI record is 05D1012498 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 12/11/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA73634CALIFORNIAYes
2207RP1001XInternal MedicinePulmonary DiseaseNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.