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Organization
CLINICA DEL CUIDADO LATINO MEDICAL GROUP INC
Active
Organization
CLINICA DEL CUIDADO LATINO MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD RAHIM SHAPOORY M.D. (DIRCTOR)
(323) 980-7777
Entity
Organization
Contact information
Practice address
3710 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90063-2219
(323) 980-7777
(323) 980-7778
Mailing address
3710 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90063-2219
(323) 980-7777
(323) 980-7778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A28518
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A28518
MEDICAL LICENSE
CA
Enumeration date
12/01/2006
Last updated
08/22/2020
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