Organization
MACARTHUR PARK MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICIA ZABELLA LAANO MD (DIRECTOR)
(213) 383-5773
Entity
Organization
Contact information
Practice address
2228 W 7TH ST, LOS ANGELES, CA 90057-4002
(213) 383-5773
(213) 383-5783
Mailing address
2228 W 7TH ST, LOS ANGELES, CA 90057-4002
(213) 383-5773
(213) 383-5783
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A30080
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8814330
MEDICAID PIN
CA
05
—
GR00786500
—
CA
Enumeration date
06/05/2008
Last updated
06/05/2008
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