| Los Reyes Clinica Medica, Inc. | |
|
6007 Whittier Blvd Los Angeles CA 90022-4401 | |
| (323) 725-1144 | |
| (323) 583-0012 |
| Full Name | Los Reyes Clinica Medica, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 6007 Whittier Blvd, Los Angeles, California |
| Authorized Official Name and Position | Myra Gomez (OFFICE MANAGER) |
| Authorized Official Contact | 3237251144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Reyes Clinica Medica, Inc. 6007 Whittier Blvd Los Angeles CA 90022-4401 Ph: (323) 725-1144 | Los Reyes Clinica Medica, Inc. 6007 Whittier Blvd Los Angeles CA 90022-4401 Ph: (323) 725-1144 |
| NPI Number | 1265740930 |
|---|---|
| Provider Enumeration Date | 09/15/2010 |
| Last Update Date | 09/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265740930 | NPI | - | NPPES |
| 1952461774 | Other | CA | NPI |
| PENDING | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | (* (Not Available)) | Secondary |
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