| NPI | 1356748123 |
|---|---|
| Doing Business As | CLINICA VIRGEN GUADALUPE |
| Entity Type | Organization |
| Authorized Contact | ALVA MARSH Physician 323-399-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: CA C22547) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |