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Organization
SAN PEDRO HEALING ARTS MEDICAL CLINIC INC
Active
Organization
SAN PEDRO HEALING ARTS MEDICAL CLINIC INC
Active
Other names
SAN PEDRO HEALING ARTS MEDICAL CLINIC INC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA E BAEZ OMD LAC (CEO)
(310) 547-2197
Entity
Organization
Contact information
Practice address
1366 W 7TH ST, SUITE 4B, SAN PEDRO, CA 90732-3500
(310) 547-2197
(310) 547-9532
Mailing address
1366 W 7TH ST, SUITE 4B, SAN PEDRO, CA 90732-3500
(310) 547-2197
(310) 547-9532
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
LMFT81399
CA
106H00000X
Marriage & Family Therapist
LMFT86500
CA
106H00000X
Marriage & Family Therapist
MFC45939
CA
111N00000X
Chiropractor
DC 21667
CA
111N00000X
Chiropractor
DC27614
CA
111NX0800X
Orthopedic Chiropractor
DC33346
CA
171100000X
Acupuncturist
AC10137
CA
171100000X
Acupuncturist
AC9270
CA
174400000X
Specialist
PT2838
CA
207Q00000X
Family Medicine Physician
Primary
G67514
CA
363A00000X
Physician Assistant
PA 18999
CA
363A00000X
Physician Assistant
PA 21347
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC10137
ACUPUNCTURE
CA
01
—
AC9270
ACUPUNCTURE
CA
01
—
DC 21667
CHIROPRACTOR
CA
01
—
DC27614
CHIROPRACTOR
CA
01
—
DC33346
CHIROPRACTIC
CA
01
—
G67514
MEDICAL DOCTOR
CA
01
—
LMFT81399
MARRIAGE & FAMILY COUNSELING
CA
01
—
LMFT86500
MARRIAGE & FAMILY COUNSELING
CA
01
—
MFC45939
MARRIAGE & FAMILY COUNSELING
CA
01
—
PA 18999
PHYSICAN ASSISTANT
CA
01
—
PA 21347
PHYSICIAN ASSISTANT
CA
01
—
PT 17929
PHYSICAL THERAPY
CA
01
—
PT2838
PHYSICAL THERAPY
CA
Enumeration date
10/18/2006
Last updated
10/11/2016
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