Organization
VALLEY CLINICA MEDICA GENERAL MEDICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE L CARRILLO JR. (OFFICE MANAGER)
(213) 739-3282
Entity
Organization
Contact information
Practice address
8646 WOODMAN AVE, ARLETA, CA 91331-6503
(818) 901-9090
(818) 901-9347
Mailing address
PO BOX 564, BEVERLY HILLS, CA 90213-0564
(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
—
GR0076080
—
CA
Enumeration date
05/28/2006
Last updated
05/26/2023
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