Colima Medical Clinic Pc

LBN: Colima Medical Clinic Pc
Colima Medical Clinic Pc is an health care organization with primary practice located at 1850 S Azusa Ave Suite 205, Hacienda Heights CA 91745. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Colima Medical Clinic Pc can be contacted via phone (626) 964-2880, or through Liu, Liji via phone (626) 964-2880.

Contact Information

Primary practice address
1850 S Azusa Ave Suite 205 Hacienda Heights CA 91745
Fax: (626) 964-2834
Website:
Authorized official contact:
Name: Liu, Liji

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A67423 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A37924 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A37925 California

Profile Details

NPI number 1760585129
LBN Legal business name Colima Medical Clinic Pc
DBA Doing business as
Authorized official Liu, Liji
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated Nov 18th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760585129 NPPES
California MEDICAID GR0069010

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