Organization
CLINICA DEL CUIDADO LATINO MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD RAHIM SHAPOORY M.D. (DIRCTOR)
(323) 980-7777
Entity
Organization
Contact information
Practice address
3710 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90063-2219
(323) 980-7777
(323) 980-7778
Mailing address
3710 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90063-2219
(323) 980-7777
(323) 980-7778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A28518
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A28518
MEDICAL LICENSE
CA
Enumeration date
12/01/2006
Last updated
08/22/2020
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