Organization
AZUL MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCISCO A JIMENEZ MD (PRESIDENT)
(323) 773-8295
Entity
Organization
Contact information
Practice address
6517 EASTERN AVE, BELL GARDENS, CA 90201-3003
(323) 773-8295
(323) 773-0656
Mailing address
6517 EASTERN AVE, BELL GARDENS, CA 90201-3003
(323) 773-8295
(323) 773-0656
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
17679
CA
261QP2300X
Primary Care Clinic/Center
Primary
A40305
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0095220
—
CA
Enumeration date
01/18/2007
Last updated
10/07/2014
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