| NPI | 1609269885 |
|---|---|
| Doing Business As | CLINICA VIRGEN GUADALUPE |
| Entity Type | Organization |
| Authorized Contact | ALVA A MARSH President 323-604-9591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C22547) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: CA C22547) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA C22547) | |
| 363AM0700X Physician Assistant, Medical (Licence: CA PA15732) | |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-12 |