| Clinica Msr. Oscar A. Romero | |
|
2032 Marengo St Los Angeles CA 90033-1319 | |
| (323) 987-1419 | |
| Not Available |
| Full Name | Clinica Msr. Oscar A. Romero |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2032 Marengo St, Los Angeles, California |
| Authorized Official Name and Position | Albert Pacheco (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2132012745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Msr. Oscar A. Romero 2032 Marengo St Los Angeles CA 90033-1319 Ph: (323) 987-1419 | Clinica Msr. Oscar A. Romero 2032 Marengo St Los Angeles CA 90033-1319 Ph: (323) 987-1419 |
| NPI Number | 1033477443 |
|---|---|
| Provider Enumeration Date | 04/24/2012 |
| Last Update Date | 04/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033477443 | NPI | - | NPPES |
| CMM71005F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 960001398 (California) | Primary |
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