| East Los Angeles Clinica Medica General Medical Center Inc | |
|
6125 Whittier Blvd Los Angeles CA 90022-4503 | |
| (323) 887-0000 | |
| (323) 722-8716 |
| Full Name | East Los Angeles Clinica Medica General Medical Center Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 6125 Whittier Blvd, Los Angeles, California |
| Authorized Official Name and Position | Juan Carlos Garcia (BUSINESS ACCOUNTS MANAGER) |
| Authorized Official Contact | 2136372530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Los Angeles Clinica Medica General Medical Center Inc Po Box 10091 Beverly Hills CA 90213-3091 Ph: (213) 637-2530 | East Los Angeles Clinica Medica General Medical Center Inc 6125 Whittier Blvd Los Angeles CA 90022-4503 Ph: (323) 887-0000 |
| NPI Number | 1053368530 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 12/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053368530 | NPI | - | NPPES |
| GR0076770 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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