| Clinica Medica Mi Pueblo, Medical Clinic, Inc | |
|
11609 Sherman Way North Hollywood CA 91605-5832 | |
| (818) 503-0336 | |
| (818) 764-7974 |
| Full Name | Clinica Medica Mi Pueblo, Medical Clinic, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 11609 Sherman Way, North Hollywood, California |
| Authorized Official Name and Position | Thomas J Magee (OWNER) |
| Authorized Official Contact | 3237260333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Medica Mi Pueblo, Medical Clinic, Inc 6055 E Washington Blvd Suite 240 Commerce CA 90040-2449 Ph: (323) 726-0333 | Clinica Medica Mi Pueblo, Medical Clinic, Inc 11609 Sherman Way North Hollywood CA 91605-5832 Ph: (818) 503-0336 |
| NPI Number | 1568713303 |
|---|---|
| Provider Enumeration Date | 09/19/2012 |
| Last Update Date | 09/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568713303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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