Organization
SAN ANTONIO MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN ATLACATL ALAS M.D. (PRESIDENT)
(562) 691-7100
Entity
Organization
Contact information
Practice address
325 E LA HABRA BLVD, LA HABRA, CA 90631-5439
(562) 691-7100
(562) 691-7101
Mailing address
325 E LA HABRA BLVD, LA HABRA, CA 90631-5439
(562) 691-7100
(562) 691-7101
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A56155
CA
Other
Enumeration date
05/25/2007
Last updated
12/28/2010
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