institution
Pico Clinica Medica Latina, A Medical Group, Inc
General Practice Physician in Los Angeles, California
NPI 1740329101

Pico Clinica Medica Latina, A Medical Group, Inc is a General Practice Physician based in Los Angeles, CA. Pico Clinica Medica Latina, A Medical Group, Inc practices in Los Angeles, CA. The NPI Number for Pico Clinica Medica Latina, A Medical Group, Inc is 1740329101 and holds a License No. A40110 (California).

The current practice location address for Pico Clinica Medica Latina, A Medical Group, Inc is 1600 W Pico Blvd, Los Angeles, CA and can be reached out via phone at 213-386-5252 and via fax at 213-386-5323.

Location: 1600 W Pico Blvd, Los Angeles, CA, 90015-2410
institution
Provider Profile Details
NPI Number
1740329101
Provider Name
Pico Clinica Medica Latina, A Medical Group, Inc
Credential
Provider Entity Type
Organization
Address
1600 W Pico Blvd, Los Angeles, CA, 90015-2410
Phone Number
213-386-5252
Fax Number
213-386-5323
Provider Enumeration Date
02/05/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0082120 05 CA
institution
Provider Business Practice Location Address Details
Address
1600 W Pico Blvd
City
State
Zip
90015-2410
Phone Number
213-386-5252
Fax Number
213-386-5323
person
Provider Business Mailing Address Details
Address
1600 W Pico Blvd
City
State
Zip
90015-2410
Phone Number
213-386-5252
Fax Number
213-386-5323
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A40110 (California)
Definition
Definition to come...
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