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Organization
LUIS A. GALDAMEZ, MD INC.
Active
Organization
LUIS A. GALDAMEZ, MD INC.
Active
Other names
Clinica Medica Virgen de Guadalupe
Organization subpart
No
Provider details
NPI number
Authorized official
CORINA AYERS (ADMINISTRATOR)
(323) 585-0732
Entity
Organization
Contact information
Practice address
2955 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5836
(323) 585-0732
(323) 585-1673
Mailing address
2955 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5836
(323) 585-0732
(323) 585-1673
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A050144
CA
208D00000X
General Practice Physician
A048644
CA
363A00000X
Physician Assistant
PA12501
CA
363A00000X
Physician Assistant
Primary
PA15773
CA
363A00000X
Physician Assistant
PA17148
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0067940
—
CA
Enumeration date
03/07/2007
Last updated
09/11/2025
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