| Clinica Santa Clara | |
|
7643 Atlantic Ave Cudahy CA 90201 | |
| (323) 771-1713 | |
| (323) 562-1302 |
| Full Name | Clinica Santa Clara |
|---|---|
| Speciality | Family Medicine |
| Location | 7643 Atlantic Ave, Cudahy, California |
| Authorized Official Name and Position | Aram Keusayan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3237711713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Santa Clara 7643 S Atlantic Ave Cudahy CA 90201 Ph: (323) 771-1713 | Clinica Santa Clara 7643 Atlantic Ave Cudahy CA 90201 Ph: (323) 771-1713 |
| NPI Number | 1659307981 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 01/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659307981 | NPI | - | NPPES |
| GR0060940 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |