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Organization
CENTRO MEDICO SANTA CRUZ MEDICAL CENTER, INC
Active
Organization
CENTRO MEDICO SANTA CRUZ MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VELMA ESTELLA VISCARRA (PROVIDER ENROLLMENT)
(562) 440-7901
Entity
Organization
Contact information
Practice address
8534 ROSECRANS AVE., PARAMOUNT, CA 90723
(562) 602-8877
(562) 602-8844
Mailing address
8534 ROSECRANS AVE., PARAMOUNT, CA 90723
(562) 602-8877
(562) 602-8844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A34431
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A34431
MEDICAL BOARD CALIFORNIA
CA
Enumeration date
02/20/2007
Last updated
03/14/2014
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