Organization
JOHN PAUL II MEDICAL CLINIC INC A PROFESSIONAL CORPORATION
Active
Parent organization
JOHN PAUL II MEDICAL CLINIC INC A PROFESSIONAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN PAUL II MEDICAL CLINIC INC A PROFESSIONAL CORPORATION
Authorized official
DR. DANIEL WALDO VELASQUEZ MD (PRESIDENT)
(323) 582-5770
Entity
Organization
Contact information
Practice address
6529 SEVILLE AVE, HUNTINGTON PARK, CA 90255-4208
(323) 582-5770
Mailing address
6529 SEVILLE AVE, HUNTINGTON PARK, CA 90255-4208
(323) 582-5770
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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