Organization
HUNTINGTON PARK CLINICA MEDICA GENERAL, MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE LUIS CARRILLO JR. (BUSINESS ACCOUNTS MANAGER)
(213) 739-3282
Entity
Organization
Contact information
Practice address
7400 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-5954
(323) 583-8383
(323) 583-8399
Mailing address
PO BOX 1682, BEVERLY HILLS, CA 90213-1682
(213) 637-2530
(213) 384-3373
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0076010
—
CA
Enumeration date
05/26/2006
Last updated
05/26/2023
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