Organization
CLINICA NUEVA VIDA MEDICAL INC
Active
Other names
CLINICA NUEVA VIDA MEDICAL INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERMAN FRICKE CARRILLO MD (MD/CEO)
(818) 847-1007
Entity
Organization
Contact information
Practice address
10970 SHERMAN WAY STE 114, BURBANK, CA 91505-1003
(818) 847-1007
(818) 847-1154
Mailing address
10970 SHERMAN WAY STE 114, BURBANK, CA 91505-1003
(818) 847-1007
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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