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Organization

CLINICA MEDICA AMERICANA MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEONIDAS VOLTAIRE SISON MEJIA M.D. (PHYSICIAN MANAGER)
(323) 264-4924
Entity
Organization

Contact information

Practice address
4075 WHITTIER BLVD, LOS ANGELES, CA 90023-2525
(323) 264-4924
(323) 264-4967
Mailing address
4075 WHITTIER BLVD, LOS ANGELES, CA 90023-2525
(323) 264-4924
(323) 264-4967

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0098380
CA
Enumeration date
08/31/2006
Last updated
03/08/2012
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