# MC CLINICA FAMILIAR, INC

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

## Provider details

- **NPI number:** 1942649587
- **Authorized official:** CLEM D RODRIGUEZ MD (PRESIDENT)
- **Authorized official phone:** (323) 249-1100

## Contact information

- **Practice address:** 8426 CALIFORNIA AVE, SOUTH GATE, CA 90280-2414
- **Practice address phone:** (323) 249-1100
- **Practice address fax:** (323) 249-1103
- **Mailing address:** 8426 CALIFORNIA AVE, SOUTH GATE, CA 90280-2414
- **Mailing address phone:** (323) 249-1100
- **Mailing address fax:** (323) 249-1103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2013
- **Last updated:** 06/17/2013