Organization
CLINICA MEDICA MI SALUD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENZO VAZQUEZ MD (CEO)
(626) 422-5958
Entity
Organization
Contact information
Practice address
1840 N HACIENDA BLVD STE 3, LA PUENTE, CA 91744-1143
(626) 350-7087
Mailing address
1840 N HACIENDA BLVD STE 3, LA PUENTE, CA 91744-1143
(626) 350-7087
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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