| NPI | 1487735221 |
|---|---|
| Doing Business As | SAN PEDRO HEALING ARTS MEDICAL CLINIC INC |
| Entity Type | Organization |
| Authorized Contact | MARIA E BAEZ CEO 310-547-2197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G67514) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC45939) |
| 106H00000X Marriage & Family Therapist (Licence: CA LMFT81399) | |
| 106H00000X Marriage & Family Therapist (Licence: CA LMFT86500) | |
| 111N00000X Chiropractor (Licence: CA DC27614) | |
| 111N00000X Chiropractor (Licence: CA DC 21667) | |
| 111NX0800X Chiropractor, Orthopedic (Licence: CA DC33346) | |
| 171100000X Acupuncturist (Licence: CA AC10137) | |
| 171100000X Acupuncturist (Licence: CA AC9270) | |
| 174400000X Specialist (Licence: CA PT2838) | |
| 363A00000X Physician Assistant (Licence: CA PA 18999) | |
| 363A00000X Physician Assistant (Licence: CA PA 21347) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2016-10-11 |