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Organization

SAN ANGEL MEDICAL CLINIC, INC.

Active
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Organization

SAN ANGEL MEDICAL CLINIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHINE KRAMER M.D. (MEDICAL DIRECTOR)
(323) 588-6113
Entity
Organization

Contact information

Practice address
2661 E FLORENCE AVE, SUUITE D-1, HUNTINGTON PARK, CA 90255-4793
(323) 588-6113
Mailing address
2661 E FLORENCE AVE, SUUITE D-1, HUNTINGTON PARK, CA 90255-4793
(323) 588-6113

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A44599
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
G86496
CA
208000000X
Pediatrics Physician
A52088
CA
363A00000X
Physician Assistant
PA15560
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0100930
—
CA
Enumeration date
07/19/2007
Last updated
09/20/2013
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