Organization
MC CLINICA FAMILIAR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLEM D RODRIGUEZ MD (PRESIDENT)
(323) 249-1100
Entity
Organization
Contact information
Practice address
8426 CALIFORNIA AVE, SOUTH GATE, CA 90280-2414
(323) 249-1100
(323) 249-1103
Mailing address
8426 CALIFORNIA AVE, SOUTH GATE, CA 90280-2414
(323) 249-1100
(323) 249-1103
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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