Organization
CLINICA MSR. OSCAR A. ROMERO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA ROSSATO MHA (EXECUTIVE DIRECTOR)
(213) 201-2737
Entity
Organization
Contact information
Practice address
2032 MARENGO ST, SUITE A, LOS ANGELES, CA 90033-1319
(213) 989-7700
(213) 989-7702
Mailing address
2032 MARENGO ST, SUITE A, LOS ANGELES, CA 90033-1319
(213) 989-7700
(213) 989-7702
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY52411
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316033533
—
CA
Enumeration date
01/05/2017
Last updated
01/05/2017
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