NUESTRA CLINICA INC NPI 1588808547

NPI Information

NUESTRA CLINICA, INC is a general practice in Los Angeles, CA. NUESTRA CLINICA, INC NPI is 1588808547. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4477 WHITTIER BLVD
LOS ANGELES, CA
ZIP 90022-535
Phone: (323) 264-2890
Fax: (323) 268-2515

The provider's authorized official is Gregory B Jahangiri .
The authorized official title is President, Co-owner and has the following contact phone number (323) 264-2890.

The CLIA number assigned to this NPI record is 05D1084399 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/21/2009 and was last updated on 4/28/2017.

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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