| Los Hermanos Medical Clinic | |
|
2715 Santa Ana St South Gate CA 90280-2021 | |
| (323) 583-0450 | |
| (323) 583-0019 |
| Full Name | Los Hermanos Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2715 Santa Ana St, South Gate, California |
| Authorized Official Name and Position | Windgrove David Daniel (MEDICAL DIRECTOR/ PRESIDENT) |
| Authorized Official Contact | 3235830450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Hermanos Medical Clinic 2715 Santa Ana St South Gate CA 90280-2021 Ph: (323) 583-0450 | Los Hermanos Medical Clinic 2715 Santa Ana St South Gate CA 90280-2021 Ph: (323) 583-0450 |
| NPI Number | 1730265828 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730265828 | NPI | - | NPPES |
| MEDI-CAL | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A41152 (California) | Primary |
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