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San Manuel Medical Clinic Inc.
Specialist in Walnut Park, California
NPI 1194071225

San Manuel Medical Clinic Inc. is a Specialist based in Walnut Park, CA. San Manuel Medical Clinic Inc. practices in Walnut Park, CA. The NPI Number for San Manuel Medical Clinic Inc. is 1194071225 and holds a License No. A30390 (California).

The current practice location address for San Manuel Medical Clinic Inc. is 7400 Pacific Blvd, Walnut Park, CA and can be reached out via phone at 323-584-8881 and via fax at 323-584-8882.

Location: 7400 Pacific Blvd, Walnut Park, CA, 90255-5739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194071225
Provider Name
San Manuel Medical Clinic Inc.
Credential
Provider Entity Type
Organization
Address
7400 Pacific Blvd, Walnut Park, CA, 90255-5739
Phone Number
323-584-8881
Fax Number
323-584-8882
Provider Enumeration Date
07/26/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7400 Pacific Blvd
City
Walnut Park
State
California
Zip
90255-5739
Phone Number
323-584-8881
Fax Number
323-584-8882
person
Provider Business Mailing Address Details
Address
7400 Pacific Blvd
City
Walnut Park
State
California
Zip
90255-5739
Phone Number
323-584-8881
Fax Number
323-584-8882
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A30390 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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