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CUIDADO LATINO MEDICAL CLINIC INC. NPI 1376862607


NPI Information

NPI: 1376862607
Provider Name: CUIDADO LATINO MEDICAL CLINIC INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D2014511

Address:
3710 CESAR CHAVEZ AVE
LOS ANGELES, CA
ZIP 90063
Phone: (323) 980-7777
Get Directions

CUIDADO LATINO MEDICAL CLINIC 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. CUIDADO LATINO MEDICAL CLINIC INC. NPI is 1376862607. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3710 CESAR CHAVEZ AVE
LOS ANGELES, CA
ZIP 90063-219
Phone: (323) 980-7777
Fax: (323) 980-7778

The provider's authorized official is Mori Shaw .
The authorized official title is Administrator and has the following contact phone number (323) 980-7777.

The CLIA number assigned to this NPI record is 05D2014511 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2010 and was last updated on 5/26/2010.


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 MedicineA75388CALIFORNIAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11720077662MEDICAIDCALIFORNIA

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

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