| Clinica Nueva Vida Medical Inc | |
|
10970 Sherman Way Ste 114 Burbank CA 91505-1003 | |
| (818) 847-1007 | |
| (818) 847-1154 |
| Full Name | Clinica Nueva Vida Medical Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10970 Sherman Way Ste 114, Burbank, California |
| Authorized Official Name and Position | Herman Fricke Carrillo (MD/CEO) |
| Authorized Official Contact | 8188471007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Nueva Vida Medical Inc 10970 Sherman Way Ste 114 Burbank CA 91505-1003 Ph: (818) 847-1007 | Clinica Nueva Vida Medical Inc 10970 Sherman Way Ste 114 Burbank CA 91505-1003 Ph: (818) 847-1007 |
| NPI Number | 1164119970 |
|---|---|
| Provider Enumeration Date | 04/20/2023 |
| Last Update Date | 04/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164119970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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