# JOSE DE GUZMAN CO TING MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Echo Park Family Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942218730
- **Authorized official:** DR. JOSE DE GUZMAN CO TING MD (PRESIDENT)
- **Authorized official phone:** (213) 250-7069

## Contact information

- **Practice address:** 1160 N LOGAN STREET, LOS ANGELES, CA 90026
- **Practice address phone:** (213) 250-7069
- **Practice address fax:** (213) 250-7520
- **Mailing address:** 2140 CAMINO SAN RAFAEL, GLENDALE, CA 91206
- **Mailing address phone:** (818) 952-4118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A38825 | CA | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 04/19/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00A388250 | CHDP | CA |
| 05 | — | 00A388250 | — | CA |