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 |