Organization
THE WALL LAS MEMORIAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD L. ZALDIVAR (EXECUTIVE DIRECTOR/FOUNDER)
(323) 257-1056
Entity
Organization
Contact information
Practice address
2020 E 1ST ST, LOS ANGELES, CA 90033-3916
(323) 257-1056
(323) 529-0200
Mailing address
800 W 6TH ST STE 750, LOS ANGELES, CA 90017-2747
(323) 257-1056
(323) 529-0200
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/10/2024
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