| NPI | 1033240650 |
|---|---|
| Doing Business As | CLINICA MEDICA VIRGEN DE GUADALUPE #2 |
| Entity Type | Organization |
| Authorized Contact | CORINA AYERS Administrator 323-581-8234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A61918) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A048644) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2025-09-11 |