institution
San Mateo Medical Clinic, Inc
General Practice Physician in Los Angeles, California
NPI 1881795003

San Mateo Medical Clinic, Inc is a General Practice Physician based in Glendale, CA. San Mateo Medical Clinic, Inc practices in Los Angeles, CA. The NPI Number for San Mateo Medical Clinic, Inc is 1881795003 and holds a License No. A35390 (California).

The current practice location address for San Mateo Medical Clinic, Inc is 4055 Whittier Blvd, Los Angeles, CA and can be reached out via phone at 323-780-4000 and via fax at 323-780-9893.

Location: 4055 Whittier Blvd, Los Angeles, CA, 91221-1025
institution
Provider Profile Details
NPI Number
1881795003
Provider Name
San Mateo Medical Clinic, Inc
Credential
Provider Entity Type
Organization
Address
4055 Whittier Blvd, Los Angeles, CA, 91221-1025
Phone Number
323-780-4000
Fax Number
323-780-9893
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A35390 01 CA PROVIDER LICENSE NUMBER
GR0082610 05 CA
institution
Provider Business Practice Location Address Details
Address
4055 Whittier Blvd
City
State
Zip
90023-2536
Phone Number
323-780-4000
Fax Number
323-780-9893
person
Provider Business Mailing Address Details
Address
4055 Whittier Blvd
City
State
Zip
90023-2536
Phone Number
323-780-4000
Fax Number
323-780-9893
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A35390 (California)
Definition
Definition to come...
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