institution
San Martin De Porres Medical Clinic Inc
General Practice Physician in Pico Rivera, California
NPI 1215953609

San Martin De Porres Medical Clinic Inc is a General Practice Physician based in Pico Rivera, CA. San Martin De Porres Medical Clinic Inc practices in Pico Rivera, CA. The NPI Number for San Martin De Porres Medical Clinic Inc is 1215953609 and holds a License No. A24482 (California).

The current practice location address for San Martin De Porres Medical Clinic Inc is 9315 Telegraph Rd, Pico Rivera, CA and can be reached out via phone at 562-654-6855 and via fax at 562-654-6856.

Location: 9315 Telegraph Rd, Pico Rivera, CA, 90660-5424
institution
Provider Profile Details
NPI Number
1215953609
Provider Name
San Martin De Porres Medical Clinic Inc
Credential
Provider Entity Type
Organization
Address
9315 Telegraph Rd, Pico Rivera, CA, 90660-5424
Phone Number
562-654-6855
Fax Number
562-654-6856
Provider Enumeration Date
07/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ80011Z 05 CA
institution
Provider Business Practice Location Address Details
Address
9315 Telegraph Rd
City
State
Zip
90660-5424
Phone Number
562-654-6855
Fax Number
562-654-6856
person
Provider Business Mailing Address Details
Address
9315 Telegraph Rd
City
State
Zip
90660-5424
Phone Number
562-654-6855
Fax Number
562-654-6856
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A24482 (California)
Definition
Definition to come...
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