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Organization
JREH MEDICAL CLINIC INC. DBA
Active
Organization
JREH MEDICAL CLINIC INC. DBA
Active
Other names
Clinica Virgen Guadalupe
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVA MARSH M.D (PHYSICIAN)
(323) 399-3000
Entity
Organization
Contact information
Practice address
615 S ATLANTIC BLVD, LOS ANGELES, CA 90022-3211
(323) 399-3000
Mailing address
615 S ATLANTIC BLVD, LOS ANGELES, CA 90022-3211
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
C22547
CA
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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