| NPI | 1710261284 |
|---|---|
| Doing Business As | SAN JUAN MEDICAL GROUP |
| Doing Business As | CLINICA FAMILIAR EAST LA |
| Entity Type | Organization |
| Authorized Contact | JOSE SERGIO SANDOVAL Authorized Official 562-716-5620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A60865) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A73468) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2020-03-12 |