Organization
CLINICA LOS REMEDIOS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYNALDO LIMPIN MAKABALI M.D. (PRESIDENT)
(213) 389-9595
Entity
Organization
Contact information
Practice address
2400 W 7TH ST STE 114, LOS ANGELES, CA 90057-5008
(213) 389-9595
(213) 389-2556
Mailing address
2400 W 7TH ST STE 114, LOS ANGELES, CA 90057-5008
(213) 389-9595
(213) 389-2556
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A51157
CA
208D00000X
General Practice Physician
A51157
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0065990
—
CA
Enumeration date
03/17/2009
Last updated
03/17/2009
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