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Calvary Medical Clinic, Inc.
Clinic/Center in Los Angeles, California
NPI 1295976199

Calvary Medical Clinic, Inc. is a Clinic/Center based in Los Angeles, CA. Calvary Medical Clinic, Inc. practices in Los Angeles, CA. The NPI Number for Calvary Medical Clinic, Inc. is 1295976199 and holds a License No. A53229 (California).

The current practice location address for Calvary Medical Clinic, Inc. is 11502 S Vermont Ave, Los Angeles, CA and can be reached out via phone at 323-757-1557 and via fax at 323-757-1461.

Location: 11502 S Vermont Ave, Los Angeles, CA, 90044-6522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295976199
Provider Name
Calvary Medical Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
11502 S Vermont Ave, Los Angeles, CA, 90044-6522
Phone Number
323-757-1557
Fax Number
323-757-1461
Provider Enumeration Date
03/23/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336275981 05 CA
institution
Provider Business Practice Location Address Details
Address
11502 S Vermont Ave
City
Los Angeles
State
California
Zip
90044-6522
Phone Number
323-757-1557
Fax Number
323-757-1461
person
Provider Business Mailing Address Details
Address
11502 S Vermont Ave
City
Los Angeles
State
California
Zip
90044-6522
Phone Number
323-757-1557
Fax Number
323-757-1461
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
A53229 (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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