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Organization

BALDWIN PARK MEDICAL CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRY M LEE M.D. (PRESIDENT)
(626) 960-3753
Entity
Organization

Contact information

Practice address
14051 RAMONA PKWY, BALDWIN PARK, CA 91706-4114
(626) 960-3753
(626) 962-9866
Mailing address
14051 RAMONA PKWY, BALDWIN PARK, CA 91706-4114
(626) 960-3753
(626) 962-9866

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
G62452
CA
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
G62452
CA
Enumeration date
05/31/2013
Last updated
04/23/2020
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