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Organization

CLINICA JUAN PABLO, INC.

Active
Other names
Clinica Juan Pablo Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
NGOC-MAI T TRAN M.D. (OWNER & PHYSICIAN)
(323) 415-6100
Entity
Organization

Contact information

Practice address
3968 WHITTIER BLVD, LOS ANGELES, CA 90023-2443
(323) 415-6100
Mailing address
3968 WHITTIER BLVD, LOS ANGELES, CA 90023-2443
(323) 415-6100

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A87065
CA

Other

Enumeration date
07/06/2009
Last updated
07/08/2013
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