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Organization
EAST LA PAZ FAMILY MEDICAL CLINIC, PC
Active
Organization
EAST LA PAZ FAMILY MEDICAL CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM CHU M.S. P.A.C (CEO)
(323) 268-8347
Entity
Organization
Contact information
Practice address
3712 WHITTIER BLVD # 1, LOS ANGELES, CA 90023-1733
(323) 268-8347
(323) 268-8368
Mailing address
3712 WHITTIER BLVD STE 1, LOS ANGELES, CA 90023-1733
(323) 268-8347
(323) 268-8368
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G56407
CA
207Q00000X
Family Medicine Physician
PA15296
CA
213E00000X
Podiatrist
E4677
CA
Other
Enumeration date
01/07/2014
Last updated
07/20/2016
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