Guadalajara Medical Clinic
LBN: Amavi A Professional Medical
Guadalajara Medical Clinic is an health care organization with primary practice located at 2705 Whittier Blvd , Los Angeles CA 90023-1441. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Ambulatory Health Care Facilities / Family Planning, Non-Surgical, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Family Planning, Non-Surgical is the primary health care specialty.
Amavi A Professional Medical can be contacted via phone (323) 263-3861, or through Pedroza, Victor Manuel via phone (323) 263-3861.
Contact Information
Primary practice address
2705 Whittier Blvd
Los Angeles CA 90023-1441
Phone: (323) 263-3861
Fax: (323) 262-7132
Website:
Authorized official contact:
Name: Pedroza, Victor Manuel Doctor of Medicine (MD)
Phone: (323) 263-3861
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | ||
| Ambulatory Health Care Facilities / Family Planning, Non-Surgical | 261QF0050X | A51722 | California |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | A51722 | California |
Profile Details
| NPI number | 1598984288 |
|---|---|
| LBN Legal business name | Amavi A Professional Medical |
| DBA Doing business as | Guadalajara Medical Clinic |
| Authorized official | Pedroza, Victor Manuel Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Mar 13th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598984288 | NPPES |
| California | Other | ZZZ43635Z | GROUP NUMBER |
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