# SALUD INTEGRAL MEDICAL CLINIC,INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CLINICA INTEGRAL DE SALUD Y BELLEZA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710427596
- **Authorized official:** ANA ROSIE ASCENCIO CLEC,MA.CNA (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (213) 219-8054

## Contact information

- **Practice address:** 11605 VALLEY BLVD, SUITE 201, EL MONTE, CA 91732-3069
- **Practice address phone:** (626) 416-5475
- **Practice address fax:** (626) 416-5492
- **Mailing address:** 11605 VALLEY BLVD, SUITE 201, EL MONTE, CA 91732-3069
- **Mailing address phone:** (626) 416-5475
- **Mailing address fax:** (626) 416-5492

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A26089 | CA | Yes |

## Other

- **Enumeration date:** 02/28/2017
- **Last updated:** 02/28/2017