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Organization

CLINICA MEDICA SAN PEDRO OF CALIFORNIA, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSE MANUEL DIAZ MD (PRESIDENT AND OWNER)
(626) 579-0999
Entity
Organization

Contact information

Practice address
11725 GARVEY AVE, STE 5B, EL MONTE, CA 91732-4534
(626) 579-0999
(626) 579-2999
Mailing address
11725 GARVEY AVE, STE 5B, EL MONTE, CA 91732-4534
(626) 579-0999
(626) 579-2999

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
208000000X
Pediatrics Physician

Other

Enumeration date
09/26/2011
Last updated
09/26/2011
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