Clinica Medica San Blas | |
7777 Katella Avenue Stanton CA 90680 | |
(714) 220-2223 | |
(714) 220-2249 |
Full Name | Clinica Medica San Blas |
---|---|
Speciality | General Practice |
Location | 7777 Katella Avenue, Stanton, California |
Authorized Official Name and Position | Jesus Manuel Frausto (PRESIDENT) |
Authorized Official Contact | 7142202223 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clinica Medica San Blas 7777 Katella Avenue Stanton CA 90680 Ph: (714) 220-2223 | Clinica Medica San Blas 7777 Katella Avenue Stanton CA 90680 Ph: (714) 220-2223 |
NPI Number | 1982035069 |
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Provider Enumeration Date | 11/27/2013 |
Last Update Date | 11/27/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982035069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | A-79043 (California) | Primary |
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