Organization
JREH MEDICAL CLINIC INC. DBA
Active
Other names
Clinica Virgen Guadalupe
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVA MARSH M.D (PHYSICIAN)
(323) 399-3000
Entity
Organization
Contact information
Practice address
615 S ATLANTIC BLVD, LOS ANGELES, CA 90022-3211
(323) 399-3000
Mailing address
615 S ATLANTIC BLVD, LOS ANGELES, CA 90022-3211
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
C22547
CA
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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