St. Isabel Family Medical Clinic, Inc. | |
1535 Lomita Blvd Harbor City CA 90710 | |
(310) 530-9300 | |
(310) 530-9303 |
Full Name | St. Isabel Family Medical Clinic, Inc. |
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Speciality | Clinic/center - Primary Care |
Location | 1535 Lomita Blvd, Harbor City, California |
Authorized Official Name and Position | Edilita De Boda (PRESIDENT) |
Authorized Official Contact | 3105309300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St. Isabel Family Medical Clinic, Inc. 1535 Lomita Blvd Harbor City CA 90710 Ph: (310) 530-9300 | St. Isabel Family Medical Clinic, Inc. 1535 Lomita Blvd Harbor City CA 90710 Ph: (310) 530-9300 |
NPI Number | 1700057981 |
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Provider Enumeration Date | 03/17/2008 |
Last Update Date | 03/17/2008 |
Identifier | Type | State | Issuer |
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1700057981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 37220 (California) | Primary |
Northeast Community Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1403 Lomita Blvd Ste 103, Harbor City, CA 90710 Phone: 310-784-1800 Fax: 310-602-3737 | |