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1053902734
GUADALUPE MEDICAL GROUP
LOS ANGELES, CA
NPI
1053902734
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Entity Type
Organization
Authorized Contact
TEODULO CRUZ BONZON
Operating Provider
818-846-4469
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2021-01-27
Last Update Date
2021-01-27
Business Address
GUADALUPE MEDICAL GROUP
1711 W TEMPLE ST STE 5658
LOS ANGELES, CA 90026-7337
Phone number: 323-543-4535
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Mailing Address
GUADALUPE MEDICAL GROUP
4525 EAGLE ROCK BLVD
LOS ANGELES, CA 90041-3214
Phone number: 818-846-4469
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