Organization
DEL ROSARIO MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACIELA CALATAYUD M.D. (MEDICAL DIRECTOR)
(323) 589-9384
Entity
Organization
Contact information
Practice address
3400 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5835
(323) 589-9384
(323) 589-0358
Mailing address
3400 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5835
(323) 589-9384
(323) 589-0358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0070720
—
CA
Enumeration date
02/02/2007
Last updated
08/22/2020
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