# CLINICA MEDICA SANTA ISABEL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821257437
- **Authorized official:** DR. HOWARD PFUPAJENA M.D. (OWNER)
- **Authorized official phone:** (818) 552-5000

## Contact information

- **Practice address:** 1101 N PACIFIC AVE, SUITE 104, GLENDALE, CA 91202-4313
- **Practice address phone:** (818) 552-5000
- **Practice address fax:** (818) 662-9605
- **Mailing address:** 1101 N PACIFIC AVE, SUITE 104, GLENDALE, CA 91202-4313
- **Mailing address phone:** (818) 552-5000
- **Mailing address fax:** (818) 662-9605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | G29345 | CA | Yes |

## Other

- **Enumeration date:** 06/09/2008
- **Last updated:** 02/25/2009