Organization
CLINICA MONSIGNOR OSCAR A ROMERO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA ROSSATO (EXECUTIVE DIRECTOR)
(213) 201-2737
Entity
Organization
Contact information
Practice address
123 S ALVARADO STREET, LOS ANGELES, CA 90057-2201
(213) 989-7700
(213) 989-7702
Mailing address
123 S ALVARADO STREET, LOS ANGELES, CA 90057-2201
(213) 989-7700
(213) 989-7702
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
960000308
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70567F
—
CA
Enumeration date
10/05/2006
Last updated
08/29/2016
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