Organization
ST. ISABEL FAMILY MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDILITA DE BODA PA-C (PRESIDENT)
(310) 530-9300
Entity
Organization
Contact information
Practice address
1535 LOMITA BLVD, HARBOR CITY, CA 90710
(310) 530-9300
(310) 530-9303
Mailing address
1535 LOMITA BLVD, HARBOR CITY, CA 90710
(310) 530-9300
(310) 530-9303
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
37220
CA
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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