# SAN MATEO MEDICAL CLINIC, INC

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

## Provider details

- **NPI number:** 1881795003
- **Authorized official:** DR. MASAD ARBID M.D. (OWNER)
- **Authorized official phone:** (323) 780-4000

## Contact information

- **Practice address:** 4055 WHITTIER BLVD, LOS ANGELES, CA 90023-2536
- **Practice address phone:** (323) 780-4000
- **Practice address fax:** (323) 780-9893
- **Mailing address:** PO BOX 5025, GLENDALE, CA 91221-1025
- **Mailing address phone:** (323) 780-4000
- **Mailing address fax:** (323) 780-9893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A35390 | CA | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 11/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A35390 | PROVIDER LICENSE NUMBER | CA |
| 05 | — | GR0082610 | — | CA |