Clinica Medica San Marcos, Inc
LBN: Clinica Medica San Marcos, Inc
Clinica Medica San Marcos, Inc is an health care organization with primary practice located at 3221 Liberty Blvd , South Gate CA 90280-2315. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Clinica Medica San Marcos, Inc can be contacted via phone (323) 566-9171, or through Roldan, Gustavo T. via phone (323) 566-9171.
Contact Information
Primary practice address
3221 Liberty Blvd
South Gate CA 90280-2315
Phone: (323) 566-9171
Fax: (323) 566-9178
Website:
Authorized official contact:
Name: Roldan, Gustavo T. Physician's Assistant Certified (PA-C)
Phone: (323) 566-9171
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 0711339 | California |
Profile Details
NPI number | 1649457037 |
---|---|
LBN Legal business name | Clinica Medica San Marcos, Inc |
DBA Doing business as | |
Authorized official | Roldan, Gustavo T. Physician's Assistant Certified (PA-C) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 28th, 2008 |
Last updated | Jan 10th, 2013 - 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.
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