| John Marshall High School - School Based Clinic | |
|
3939 Tracy St Los Angeles CA 90027-3207 | |
| (323) 665-1129 | |
| (323) 665-1104 |
| Full Name | John Marshall High School - School Based Clinic |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 3939 Tracy St, Los Angeles, California |
| Authorized Official Name and Position | Jeanne Aguinaldo (YOUTH SERVICES MANAGER) |
| Authorized Official Contact | 3236443880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Marshall High School - School Based Clinic 3939 Tracy St Los Angeles CA 90027-3207 Ph: (323) 665-1129 | John Marshall High School - School Based Clinic 3939 Tracy St Los Angeles CA 90027-3207 Ph: (323) 665-1129 |
| NPI Number | 1275661811 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275661811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (California) | Primary |
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