Organization
EAST WEST BARUCH MEDICAL GROUP INC
Active
Other names
Clinica Angel de Su Salud
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEL BOUTROS MD (PRESIDENT)
(323) 370-7430
Entity
Organization
Contact information
Practice address
4811 E FLORENCE AVE, BELL, CA 90201
(213) 472-6651
Mailing address
2661 E FLORENCE AVE SUITE B, HUNTINGTON PARK, CA 90255
(213) 472-6651
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
08/22/2013
Last updated
05/11/2021
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