Organization
EAST LOS ANGELES CLINICA MEDICA GENERAL MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN CARLOS GARCIA (BUSINESS ACCOUNTS MANAGER)
(213) 637-2530
Entity
Organization
Contact information
Practice address
6125 WHITTIER BLVD, LOS ANGELES, CA 90022-4503
(323) 887-0000
(323) 722-8716
Mailing address
PO BOX 10091, BEVERLY HILLS, CA 90213-3091
(213) 637-2530
(213) 384-3373
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0076770
—
CA
Enumeration date
05/28/2006
Last updated
12/23/2014
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