Organization
COLIMA MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LIJI LIU (SECRETARY)
(626) 964-2880
Entity
Organization
Contact information
Practice address
1850 S AZUSA AVE, SUITE 205, HACIENDA HEIGHTS, CA 91745
(626) 964-2880
(626) 964-2834
Mailing address
1850 S AZUSA AVE, SUITE 205, HACIENDA HEIGHTS, CA 91745
(626) 964-2880
(626) 964-2834
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A67423
CA
207R00000X
Internal Medicine Physician
A37924
CA
208000000X
Pediatrics Physician
A37925
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0069010
—
CA
Enumeration date
09/07/2006
Last updated
11/18/2010
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