| Clinica Msr Oscar A Romero | |
|
201 S Alvarado St Ste 100 Los Angeles CA 90057-2356 | |
| (323) 987-1030 | |
| Not Available |
| Full Name | Clinica Msr Oscar A Romero |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 201 S Alvarado St Ste 100, Los Angeles, California |
| Authorized Official Name and Position | Sandra Rossato (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2132012737 |
| 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) 201-2737 | Clinica Msr Oscar A Romero 201 S Alvarado St Ste 100 Los Angeles CA 90057-2356 Ph: (323) 987-1030 |
| NPI Number | 1790193548 |
|---|---|
| Provider Enumeration Date | 07/24/2014 |
| Last Update Date | 07/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790193548 | NPI | - | NPPES |
| FHC70567F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 550001341 (California) | Primary |
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