Organization
CENTRO MEDICO SANTA CRUZ MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VELMA ESTELLA VISCARRA (PROVIDER ENROLLMENT)
(562) 440-7901
Entity
Organization
Contact information
Practice address
8534 ROSECRANS AVE., PARAMOUNT, CA 90723
(562) 602-8877
(562) 602-8844
Mailing address
8534 ROSECRANS AVE., PARAMOUNT, CA 90723
(562) 602-8877
(562) 602-8844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A34431
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A34431
MEDICAL BOARD CALIFORNIA
CA
Enumeration date
02/20/2007
Last updated
03/14/2014
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