Organization
DOWNEY PIH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY MENDOZA (RESIDENCY COORDINATOR)
(562) 904-5482
Entity
Organization
Contact information
Practice address
11500 BROOKSHIRE AVE, DOWNEY, CA 90241-4917
(562) 547-7011
Mailing address
11500 BROOKSHIRE AVENUE, DOWNEY, CA 90604
(562) 547-7011
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
20A13794
CA
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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