| Clinica Medica San Marcos, Inc | |
|
3221 Liberty Blvd South Gate CA 90280-2315 | |
| (323) 566-9171 | |
| (323) 566-9178 |
| Full Name | Clinica Medica San Marcos, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3221 Liberty Blvd, South Gate, California |
| Authorized Official Name and Position | Gustavo T. Roldan (MANAGER) |
| Authorized Official Contact | 3235669171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Medica San Marcos, Inc 3221 Liberty Blvd South Gate CA 90280-2315 Ph: (323) 566-9171 | Clinica Medica San Marcos, Inc 3221 Liberty Blvd South Gate CA 90280-2315 Ph: (323) 566-9171 |
| NPI Number | 1649457037 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 01/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649457037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0711339 (California) | Primary |
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