| Clinica Medica Santa Isabel Inc | |
|
1101 N Pacific Ave Suite 104 Glendale CA 91202-4313 | |
| (818) 552-5000 | |
| (818) 662-9605 |
| Full Name | Clinica Medica Santa Isabel Inc |
|---|---|
| Speciality | General Practice |
| Location | 1101 N Pacific Ave, Glendale, California |
| Authorized Official Name and Position | Howard Pfupajena (OWNER) |
| Authorized Official Contact | 8185525000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Medica Santa Isabel Inc 1101 N Pacific Ave Suite 104 Glendale CA 91202-4313 Ph: (818) 552-5000 | Clinica Medica Santa Isabel Inc 1101 N Pacific Ave Suite 104 Glendale CA 91202-4313 Ph: (818) 552-5000 |
| NPI Number | 1821257437 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 02/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821257437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G29345 (California) | Primary |
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