Organization
CLINICA MEDICA SANTA ISABEL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD PFUPAJENA M.D. (OWNER)
(818) 552-5000
Entity
Organization
Contact information
Practice address
1101 N PACIFIC AVE, SUITE 104, GLENDALE, CA 91202-4313
(818) 552-5000
(818) 662-9605
Mailing address
1101 N PACIFIC AVE, SUITE 104, GLENDALE, CA 91202-4313
(818) 552-5000
(818) 662-9605
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G29345
CA
Other
Enumeration date
06/09/2008
Last updated
02/25/2009
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