Organization
SAN MATEO MEDICAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MASAD ARBID M.D. (OWNER)
(323) 780-4000
Entity
Organization
Contact information
Practice address
4055 WHITTIER BLVD, LOS ANGELES, CA 90023-2536
(323) 780-4000
(323) 780-9893
Mailing address
PO BOX 5025, GLENDALE, CA 91221-1025
(323) 780-4000
(323) 780-9893
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A35390
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A35390
PROVIDER LICENSE NUMBER
CA
05
—
GR0082610
—
CA
Enumeration date
09/26/2006
Last updated
11/19/2008
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