Organization
WHITE MEMORIAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS SAMANIEGO M.D. (FAMILY MEDICINE PROGRAM DIRECTOR)
(323) 260-5789
Entity
Organization
Contact information
Practice address
1720 CESAR E. CHAVEZ AVENUE, LOS ANGELES, CA 90033
(323) 260-5789
Mailing address
1720 CESAR E. CHAVEZ AVENUE, LOS ANGELES, CA 90033
(323) 260-5789
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
20A13554
CA
261QU0200X
Urgent Care Clinic/Center
20A13554
CA
284300000X
Special Hospital
Primary
20A13554
CA
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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