Organization
ALMA HISPANA MEDICAL CLINIC MEDICAL PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRISELDA BANUELOS NP (CEO)
(323) 360-4071
Entity
Organization
Contact information
Practice address
3636 E IMPERIAL HWY, LYNWOOD, CA 90262-2653
(310) 455-6491
Mailing address
3636 E IMPERIAL HWY, LYNWOOD, CA 90262-2653
(310) 455-6491
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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