| NPI | 1972563617 |
|---|---|
| Doing Business As | CLINICA MEDICA HISPANA MEDICAL CORP. |
| Entity Type | Organization |
| Authorized Contact | NABIL HORACIO KHOURY President Medical Director 562-630-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A31583) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A88689) |
| 363A00000X Physician Assistant (Licence: CA PA 15959) | |
| 363A00000X Physician Assistant (Licence: CA PA 18278) | |
| 363L00000X Nurse Practitioner (Licence: CA NP 8951) | |
| 207V00000X Obstetrics & Gynecology (Licence: CA A37605) | |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2020-08-22 |