| Santa Rosa Family Medical Clinic | |
|
4055 Whittier Blvd Los Angeles CA 90023-2536 | |
| (323) 261-4641 | |
| (323) 261-4757 |
| Full Name | Santa Rosa Family Medical Clinic |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 4055 Whittier Blvd, Los Angeles, California |
| Authorized Official Name and Position | Rafael Antonio Serna (MEDICAL) |
| Authorized Official Contact | 3238046569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Rosa Family Medical Clinic 4055 Whittier Blvd Los Angeles CA 90023-2536 Ph: (323) 261-4641 | Santa Rosa Family Medical Clinic 4055 Whittier Blvd Los Angeles CA 90023-2536 Ph: (323) 261-4641 |
| NPI Number | 1023039765 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023039765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Primary |
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