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Organization
SANTA ROSA DE LIMA MEDICAL CLINIC INC.
Active
Organization
SANTA ROSA DE LIMA MEDICAL CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN ZEVALLOS (PHYSYCIAN)
(323) 588-9800
Entity
Organization
Contact information
Practice address
6915 SEVILLE AVE, HUNTINGTON PARK, CA 90255-4901
(323) 588-9800
Mailing address
6915 SEVILLE AVENUE, HUNTINGTON PARK, CA 90255
(323) 588-9800
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A53394
CA
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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