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Organization
JML MEDICAL GROUP INC
Active
Organization
JML MEDICAL GROUP INC
Active
Other names
East LA Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIE LARES MD (DIRECTOR)
(626) 673-5439
Entity
Organization
Contact information
Practice address
5400 E BEVERLY BLVD, LOS ANGELES, CA 90022-2208
(626) 673-5439
Mailing address
4200 PECK RD STE B, EL MONTE, CA 91732-2177
(626) 673-5439
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A107364
—
CA
Enumeration date
04/29/2022
Last updated
10/29/2024
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