Individual
CLAUDIA HURTADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5425 POMONA BLVD, LOS ANGELES, CA 90022-1716
(323) 832-7504
Mailing address
5425 POMONA BLVD, LOS ANGELES, CA 90022-1716
(323) 832-7504
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
499224
CA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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