| Clinica San Marcos Medical Center Apc | |
|
3221 Liberty Blvd South Gate CA 90280-2315 | |
| (323) 566-9171 | |
| (323) 566-9178 |
| Full Name | Clinica San Marcos Medical Center Apc |
|---|---|
| Speciality | General Practice |
| Location | 3221 Liberty Blvd, South Gate, California |
| Authorized Official Name and Position | Neil David Katchman (CEO) |
| Authorized Official Contact | 3235669171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica San Marcos Medical Center Apc 3221 Liberty Blvd South Gate CA 90280-2315 Ph: (323) 566-9171 | Clinica San Marcos Medical Center Apc 3221 Liberty Blvd South Gate CA 90280-2315 Ph: (323) 566-9171 |
| NPI Number | 1396420394 |
|---|---|
| Provider Enumeration Date | 06/16/2023 |
| Last Update Date | 06/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396420394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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