Organization
CLINICA DEL ALMA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA G. VIDAL M.D. (OWNER)
(310) 756-0198
Entity
Organization
Contact information
Practice address
16402 S VERMONT AVE, GARDENA, CA 90247-4914
(310) 756-0198
(310) 756-0201
Mailing address
16402 S VERMONT AVE, GARDENA, CA 90247-4914
(310) 756-0198
(310) 756-0201
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A78069
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0103341
—
CA
Enumeration date
02/25/2007
Last updated
08/22/2020
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