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Organization
LOS ANGELES CLINICA MEDICA GENERAL MEDICAL CENTER, INC.
Active
Organization
LOS ANGELES CLINICA MEDICA GENERAL MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE L CARRILLO (OFFICE MANAGER)
(213) 739-3282
Entity
Organization
Contact information
Practice address
7400 PACIFIC BLVD STE AB, HUNTINGTON PARK, CA 90255-5954
(323) 583-8383
(323) 583-8399
Mailing address
2208 W 7TH ST, LOS ANGELES, CA 90057-4002
(213) 384-3434
(213) 386-2039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/19/2023
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