Organization
CLINICA MEDICA SAN PEDRO OF CALIFORNIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE MANUEL DIAZ MD (PRESIDENT)
(562) 863-1212
Entity
Organization
Contact information
Practice address
13939 SAN ANTONIO DR, NORWALK, CA 90650-4036
(562) 863-1212
(562) 864-1212
Mailing address
13939 SAN ANTONIO DR, NORWALK, CA 90650-4036
(562) 863-1212
(562) 864-1212
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A39722
CA
208000000X
Pediatrics Physician
Primary
A76805
CA
Other
Enumeration date
03/21/2010
Last updated
03/21/2010
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