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Organization
J L NAVARRETE M D INC
Active
Organization
J L NAVARRETE M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE NAVARRETE M.D. (PRESIDENT)
(323) 582-8240
Entity
Organization
Contact information
Practice address
3231 E GAGE AVE, HUNTINGTON PARK, CA 90255-5441
(323) 582-8240
(323) 582-8022
Mailing address
300 1/2 GARFIELD AVE, S PASADENA, CA 91030-2267
(323) 582-8240
(323) 582-8022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A78571
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A785710
BLUE SHIELD
CA
05
—
00A785710
—
CA
Enumeration date
01/20/2011
Last updated
01/21/2011
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