# JOHN J ESTRADA, M,D.,INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568646180
- **Authorized official:** DR. JOHN J. ESTRADA M.D. (PRESIDENT)
- **Authorized official phone:** (213) 482-1395

## Contact information

- **Practice address:** 1245 WILSHIRE BLVD, SUITE 817, LOS ANGELES, CA 90017-4810
- **Practice address phone:** (213) 482-1395
- **Practice address fax:** (213) 482-1398
- **Mailing address:** 1245 WILSHIRE BLVD, SUITE 817, LOS ANGELES, CA 90017-4810
- **Mailing address phone:** (213) 482-1395
- **Mailing address fax:** (213) 482-1398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | C27180 | CA | Yes |

## Other

- **Enumeration date:** 12/18/2007
- **Last updated:** 12/18/2007