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Organization
NUEVA ESPERANZA HEALTHCARE MEDICAL CLINIC INC.
Active
Organization
NUEVA ESPERANZA HEALTHCARE MEDICAL CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANI A ELDESSOUKY M.D (PRESIDENT)
(323) 778-8485
Entity
Organization
Contact information
Practice address
1704 W MANCHESTER AVE, SUITE 109, LOS ANGELES, CA 90047-3063
(323) 778-8485
(323) 778-4452
Mailing address
1704 W MANCHESTER AVE, SUITE 109, LOS ANGELES, CA 90047-3063
(323) 778-8485
(323) 778-4452
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A106748
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A106748
—
CA
Enumeration date
12/29/2011
Last updated
10/29/2020
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