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EAST LA PAZ MEDICAL CLINIC NPI 1881616761


NPI Information

NPI: 1881616761
Provider Name: EAST LA PAZ MEDICAL CLINIC

Doing Business As: EAST FAMILY MEDICAL CLINIC

Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
3712 WHITTIER BLVD
LOS ANGELES, CA
ZIP 90023
Phone: (323) 268-8347
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EAST LA PAZ MEDICAL CLINIC is a primary podiatric medicine podiatrist in Los Angeles, CA. EAST LA PAZ MEDICAL CLINIC NPI is 1881616761. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As East Family Medical Clinic.

The provider's business location address is:

3712 WHITTIER BLVD
LOS ANGELES, CA
ZIP 90023-733
Phone: (323) 268-8347
Fax: (323) 268-8368

The provider's authorized official is William Chu .
The authorized official title is President and has the following contact phone number (323) 268-8347.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 3/18/2014.


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
1363AM0700XPhysician AssistantMedicalPA 15296CALIFORNIANo
2208D00000XGeneral PracticeG56407CALIFORNIANo
3208D00000XGeneral PracticeA23808CALIFORNIANo
4213EP1101XPodiatristPrimary Podiatric MedicineE 4677CALIFORNIAYes

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
1W16732MEDICARE PINCALIFORNIA
2Q00709MEDICARE UPINCALIFORNIA

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.