Clinica Medica Virgen De Guadalupe #2

LBN: Luis A. Galdamez, Md Inc.
Clinica Medica Virgen De Guadalupe #2 is an health care organization with primary practice located at 6831 Seville Ave , Huntington Park CA 90255-4805. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Luis A. Galdamez, Md Inc. can be contacted via phone (323) 581-8234, or through Ayers, Corina via phone (323) 581-8234.

Contact Information

Primary practice address
6831 Seville Ave Huntington Park CA 90255-4805
Fax: (323) 581-0393
Website:
Authorized official contact:
Name: Ayers, Corina

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A61918 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X A048644 California

Profile Details

NPI number 1033240650
LBN Legal business name Luis A. Galdamez, Md Inc.
DBA Doing business as Clinica Medica Virgen De Guadalupe #2
Authorized official Ayers, Corina
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
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 1033240650 NPPES
California MEDICAID GR0067941

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