Mission San Juan Medical Clinic | |
9914 San Juan Ave South Gate CA 90280-6108 | |
(323) 564-1100 | |
Not Available |
Full Name | Mission San Juan Medical Clinic |
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Speciality | General Practice |
Location | 9914 San Juan Ave, South Gate, California |
Authorized Official Name and Position | Noel Jr Torres (MEDICAL DIRECTOR) |
Authorized Official Contact | 3235641100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mission San Juan Medical Clinic 9914 San Juan Ave South Gate CA 90280-6108 Ph: (323) 564-1100 | Mission San Juan Medical Clinic 9914 San Juan Ave South Gate CA 90280-6108 Ph: (323) 564-1100 |
NPI Number | 1023271830 |
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Provider Enumeration Date | 07/02/2008 |
Last Update Date | 07/02/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023271830 | NPI | - | NPPES |
A93526 | Other | CA | CA MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | A93526 (California) | Primary |
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