John Paul Ii Medical Clinic Inc | |
6529 Seville Ave Huntington Park CA 90255-5745 | |
(323) 582-5770 | |
(323) 582-1103 |
Full Name | John Paul Ii Medical Clinic Inc |
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Speciality | General Practice |
Location | 6529 Seville Ave, Huntington Park, California |
Authorized Official Name and Position | Daniel Waldo Velasquez (OWNER) |
Authorized Official Contact | 3235825770 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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John Paul Ii Medical Clinic Inc Po Box 253 Downey CA 90241-0253 Ph: (323) 582-5770 | John Paul Ii Medical Clinic Inc 6529 Seville Ave Huntington Park CA 90255-5745 Ph: (323) 582-5770 |
NPI Number | 1033326863 |
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Provider Enumeration Date | 05/17/2007 |
Last Update Date | 06/21/2018 |
Identifier | Type | State | Issuer |
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1033326863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | A052551 (California) | Primary |
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