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Organization
CITY CARE CLINIC
Active
Organization
CITY CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PEREZ (ADMINISTRATOR)
(323) 547-0144
Entity
Organization
Contact information
Practice address
6622 CRENSHAW BLVD, LOS ANGELES, CA 90043-4102
(213) 468-8404
Mailing address
435 ARDEN AVE STE 530, GLENDALE, CA 91203-1140
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
05/02/2024
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