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Mission San Juan Medical Clinic
General Practice Physician in South Gate, California
NPI 1023271830

Mission San Juan Medical Clinic is a General Practice Physician based in South Gate, CA. Mission San Juan Medical Clinic practices in South Gate, CA. The NPI Number for Mission San Juan Medical Clinic is 1023271830 and holds a License No. A93526 (California).

The current practice location address for Mission San Juan Medical Clinic is 9914 San Juan Ave, South Gate, CA and can be reached out via phone at 323-564-1100.

Location: 9914 San Juan Ave, South Gate, CA, 90280-6108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023271830
Provider Name
Mission San Juan Medical Clinic
Credential
Provider Entity Type
Organization
Address
9914 San Juan Ave, South Gate, CA, 90280-6108
Phone Number
323-564-1100
Fax Number
Provider Enumeration Date
07/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A93526 01 CA CA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
9914 San Juan Ave
City
South Gate
State
California
Zip
90280-6108
Phone Number
323-564-1100
Fax Number
person
Provider Business Mailing Address Details
Address
9914 San Juan Ave
City
South Gate
State
California
Zip
90280-6108
Phone Number
323-564-1100
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
A93526 (California)
Definition
Definition to come...
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