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Organization

EL MONTE CLINICA MEDICA GENERAL MEDICAL CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSE LUIS CARRILLO JR. (BUSINESS ACCOUNTS MANAGER)
(213) 739-3282
Entity
Organization

Contact information

Practice address
11001 MAIN ST STE 301, EL MONTE, CA 91731-2620
(626) 443-4300
(626) 433-9646
Mailing address
PO BOX 2013, BEVERLY HILLS, CA 90213-2013
(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
GR0076130
CA
Enumeration date
05/28/2006
Last updated
07/19/2023
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