Organization
CLINICA MEDICA SAN PEDRO OF CALIFORNIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE MANUEL DIAZ MD (PRESIDENT)
(323) 566-2222
Entity
Organization
Contact information
Practice address
9739 CALIFORNIA AVE, SOUTH GATE, CA 90280-4609
(323) 566-2222
(323) 567-2222
Mailing address
9739 CALIFORNIA AVE, SOUTH GATE, CA 90280-4609
(323) 566-2222
(323) 567-2222
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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