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Organization
CLINICA SANTA CLARA
Active
Organization
CLINICA SANTA CLARA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARAM KEUSAYAN MD (MEDICAL DIRECTOR)
(323) 771-1713
Entity
Organization
Contact information
Practice address
7643 ATLANTIC AVE, CUDAHY, CA 90201
(323) 771-1713
(323) 562-1302
Mailing address
7643 S ATLANTIC AVE, CUDAHY, CA 90201
(323) 771-1713
(323) 562-1302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0060940
—
CA
Enumeration date
06/26/2006
Last updated
01/15/2013
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