Organization
JOSE DE GUZMAN CO TING MD INC
Active
Other names
Echo Park Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE DE GUZMAN CO TING MD (PRESIDENT)
(213) 250-7069
Entity
Organization
Contact information
Practice address
1160 N LOGAN STREET, LOS ANGELES, CA 90026
(213) 250-7069
(213) 250-7520
Mailing address
2140 CAMINO SAN RAFAEL, GLENDALE, CA 91206
(818) 952-4118
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A38825
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A388250
CHDP
CA
05
—
00A388250
—
CA
Enumeration date
08/04/2006
Last updated
04/19/2012
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