Los Hermanos Medical Clinic

LBN: Los Reyes Medical Clinic, Inc
Los Hermanos Medical Clinic is an health care organization with primary practice located at 2715 Santa Ana St , South Gate CA 90280-2021. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Los Reyes Medical Clinic, Inc can be contacted via phone (323) 583-0450, or through Daniel, Windgrove David via phone (323) 583-0450.

Contact Information

Primary practice address
2715 Santa Ana St South Gate CA 90280-2021
Phone: (323) 583-0450
Fax: (323) 583-0019
Website:
Map and Directions
Authorized official contact:
Name: Daniel, Windgrove David Doctor of Medicine (MD)
Phone: (323) 583-0450

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A41152 California

Profile Details

NPI number 1730265828
LBN Legal business name Los Reyes Medical Clinic, Inc
DBA Doing business as Los Hermanos Medical Clinic
Authorized official Daniel, Windgrove David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2006
Last updated Aug 22nd, 2020 - about 4 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 1730265828 NPPES
California MEDICAID MEDI-CAL

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