Organization
LA FE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELICA BARRIENTOS (ADMINISTRATOR)
(323) 262-6935
Entity
Organization
Contact information
Practice address
3000 EAST 1ST STREET, LOS ANGELES, CA 90063-2807
(323) 262-6935
(323) 262-3109
Mailing address
3000 EAST 1ST STREET, LOS ANGELES, CA 90063-2807
(323) 262-6935
(323) 262-3109
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
A45272
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W13455
MEDICARE
CA
Enumeration date
11/07/2007
Last updated
10/22/2012
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