Organization
SAN MARTIN DE PORRES MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCISCO EDGARDO PAREDES M.D. (OWNER)
(562) 654-6855
Entity
Organization
Contact information
Practice address
9315 TELEGRAPH RD, PICO RIVERA, CA 90660-5424
(562) 654-6855
(562) 654-6856
Mailing address
9315 TELEGRAPH RD, PICO RIVERA, CA 90660-5424
(562) 654-6855
(562) 654-6856
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A24482
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ80011Z
—
CA
Enumeration date
07/15/2006
Last updated
01/20/2015
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