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Organization
CLINICA MSR. OSCAR A. ROMERO
Active
Organization
CLINICA MSR. OSCAR A. ROMERO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT PACHECO (EXECUTIVE DIRECTOR)
(213) 201-2745
Entity
Organization
Contact information
Practice address
123 S ALVARADO ST, LOS ANGELES, CA 90057-2201
(213) 201-2765
(213) 989-7702
Mailing address
123 S ALVARADO ST, LOS ANGELES, CA 90057-2201
(213) 201-2765
(213) 989-7702
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
960000308
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70567F
—
CA
Enumeration date
04/24/2012
Last updated
04/24/2012
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