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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