Organization
CLINICA MEDICA DE LA CARIDAD MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALIE ALCANTARA NP (OFFICE MANAGER)
(323) 773-3137
Entity
Organization
Contact information
Practice address
4347 E. SLAUSON AVE, MAYWOOD, CA 90270-2837
(323) 773-7137
(323) 773-2093
Mailing address
4347 E. SLAUSON AVE, MAYWOOD, CA 90270-2837
(323) 773-7137
(323) 773-2093
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
W22184
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A453844
—
CA
Enumeration date
12/28/2007
Last updated
04/03/2015
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