Organization
CLINICA MONSIGNOR OSCAR A ROMERO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA ROSSATO (AUTHORIZED OFFICIAL)
(213) 201-2737
Entity
Organization
Contact information
Practice address
540 N MONTEBELLO BLVD STE D, MONTEBELLO, CA 90640-3662
(323) 728-0080
(323) 728-0090
Mailing address
540 N MONTEBELLO BLVD STE D, MONTEBELLO, CA 90640-3662
(323) 728-0080
(323) 728-0090
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275629495
—
CA
Enumeration date
03/17/2022
Last updated
03/17/2022
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