Organization
CUIDADO LATINO MEDICAL CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORI SHAW (ADMINISTRATOR)
(323) 980-7777
Entity
Organization
Contact information
Practice address
3710 CESAR CHAVEZ AVE, LOS ANGELES, CA 90063-2219
(323) 980-7777
(323) 980-7778
Mailing address
3710 CESAR CHAVEZ AVE, LOS ANGELES, CA 90063-2219
(323) 980-7777
(323) 980-7778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A75388
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720077662
—
CA
Enumeration date
05/26/2010
Last updated
05/26/2010
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