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Organization
MID CITY ASSOCIATED MEDICAL GROUP, INC.
Active
Organization
MID CITY ASSOCIATED MEDICAL GROUP, INC.
Active
Other names
CLINICA DE SALUD FAMILIAR
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE ANTONIO ALMENDARES (ADMINISTRATOR)
(213) 388-0000
Entity
Organization
Contact information
Practice address
1039 S ALVARADO ST, LOS ANGELES, CA 90006-3711
(213) 388-0000
(818) 361-7584
Mailing address
1039 S ALVARADO ST, LOS ANGELES, CA 90006-3711
(213) 388-0000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A44112
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0043090
—
CA
Enumeration date
12/27/2006
Last updated
06/26/2008
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