Organization
LOS ANGELES CLINICA MEDICA GENERAL MEDICAL CENTER, INC.
Active
Organization
LOS ANGELES CLINICA MEDICA GENERAL MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE LUIS CARRILLO JR. (BUSINESS ACCOUNTS MANAGER)
(213) 739-3282
Entity
Organization
Contact information
Practice address
2208 W 7TH ST, LOS ANGELES, CA 90057-4002
(213) 384-3434
(213) 386-2039
Mailing address
PO BOX 10432, BEVERLY HILLS, CA 90213-3432
(213) 637-2530
(231) 384-3373
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0076110
—
CA
Enumeration date
05/28/2006
Last updated
07/31/2020
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