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Organization
HUNTINGTON PARK CLINICA MEDICA GENERAL, MEDICAL CENTER, INC
Active
Organization
HUNTINGTON PARK CLINICA MEDICA GENERAL, MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE LUIS CARRILLO JR. (OFFICE MANAGER)
(213) 739-3282
Entity
Organization
Contact information
Practice address
2208 W 7TH ST, LOS ANGELES, CA 90057-4002
(213) 384-3434
(213) 386-2039
Mailing address
PO BOX 1682, BEVERLY HILLS, CA 90213-1682
(213) 739-3282
(213) 384-3373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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