Organization
LA CLINIQUITA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINA IDALIE GARCIA M.D. (OWNER)
(562) 373-2007
Entity
Organization
Contact information
Practice address
6505 ROSEMEAD BLVD STE 106, PICO RIVERA, CA 90660-3542
(562) 373-2007
Mailing address
6505 ROSEMEAD BLVD STE 106, PICO RIVERA, CA 90660-3542
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A123276
CA
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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