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Organization
LUIS TINCOPA M D INC
Active
Organization
LUIS TINCOPA M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS FELIX TINCOPA M.D. (PRESIDENT)
(323) 587-0088
Entity
Organization
Contact information
Practice address
7507 SEVILLE AVE, HUNTINGTON PARK, CA 90255-6027
(323) 587-0088
(323) 587-6234
Mailing address
7507 SEVILLE AVE, HUNTINGTON PARK, CA 90255-6027
(323) 587-0088
(323) 587-6234
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A31264
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A312640
—
CA
05
—
00A312641
—
CA
Enumeration date
11/17/2010
Last updated
03/21/2011
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