| Clinica Msr. Oscar A. Romero | |
|
123 S Alvarado St Los Angeles CA 90057-2201 | |
| (213) 201-2765 | |
| (213) 989-7702 |
| Full Name | Clinica Msr. Oscar A. Romero |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 123 S Alvarado 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 123 S Alvarado St Los Angeles CA 90057-2201 Ph: (213) 201-2765 | Clinica Msr. Oscar A. Romero 123 S Alvarado St Los Angeles CA 90057-2201 Ph: (213) 201-2765 |
| NPI Number | 1356609762 |
|---|---|
| Provider Enumeration Date | 04/24/2012 |
| Last Update Date | 04/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356609762 | NPI | - | NPPES |
| FHC70567F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 960000308 (California) | Primary |
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