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San Manuel Medical Clinic,inc
Family Medicine Physician in Walnut Park, California
NPI 1831456482

San Manuel Medical Clinic,inc is a Family Medicine Physician 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 1831456482 and holds a License No. A84082 (California).

The current practice location address for San Manuel Medical Clinic,inc is 7400 Pacific Blvd Ste A, Walnut Park, CA and can be reached out via phone at 323-585-8881.

Location: 7400 Pacific Blvd Ste A, Walnut Park, CA, 90255-5739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831456482
Provider Name
San Manuel Medical Clinic,inc
Credential
Provider Entity Type
Organization
Address
7400 Pacific Blvd Ste A, Walnut Park, CA, 90255-5739
Phone Number
323-585-8881
Fax Number
Provider Enumeration Date
04/20/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0100930 05 CA
institution
Provider Business Practice Location Address Details
Address
7400 Pacific Blvd Ste A
City
Walnut Park
State
California
Zip
90255-5739
Phone Number
323-585-8881
Fax Number
person
Provider Business Mailing Address Details
Address
7400 Pacific Blvd Ste A
City
Walnut Park
State
California
Zip
90255-5739
Phone Number
323-585-8881
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
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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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
A84082 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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