Organization
SANTA ROSA DE LIMA MEDICAL CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN ZEVALLOS (PHYSYCIAN)
(323) 588-9800
Entity
Organization
Contact information
Practice address
6915 SEVILLE AVE, HUNTINGTON PARK, CA 90255-4901
(323) 588-9800
Mailing address
6915 SEVILLE AVENUE, HUNTINGTON PARK, CA 90255
(323) 588-9800
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A53394
CA
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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