Organization
EAST LOS ANGELES HEALTH TASK FORCE
Active
Organization
EAST LOS ANGELES HEALTH TASK FORCE
Active
Other names
Clinica Medica Jose Carlos
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SUSANNA ARELLANO (EXECUTIVE DIRECTOR)
(323) 261-2171
Entity
Organization
Contact information
Practice address
2120 EAST 6TH STREET, LOS ANGELES, CA 90023-1202
(323) 261-2171
Mailing address
2120 E 6TH ST, LOS ANGELES, CA 90023-1202
(323) 261-2171
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
960000237
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EAP00002F
EAPC
CA
Enumeration date
05/19/2008
Last updated
05/19/2008
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