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Organization
POLICLINICA FAMILIAR SAN JUDAS INC
Active
Organization
POLICLINICA FAMILIAR SAN JUDAS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLADIS N. FUNES FAMILY NURSE PRACTIT (NURSE PRACTITIONER)
(323) 725-1144
Entity
Organization
Contact information
Practice address
6007 WHITTIER BLVD, EAST LOS ANGELES, CA 90022-4401
(323) 725-1144
(323) 725-1153
Mailing address
6007 WHITTIER BLVD, EAST LOS ANGELES, CA 90022-4401
(323) 725-1144
(323) 725-1153
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A48644
CA
Other
Enumeration date
07/31/2012
Last updated
01/23/2014
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