Clinica Medica Virgen De Guadalupe

LBN: Luis A. Galdamez, Md Inc.
Clinica Medica Virgen De Guadalupe is an health care organization with primary practice located at 2955 E Florence Ave , Huntington Park CA 90255-5836. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Luis A. Galdamez, Md Inc. can be contacted via phone (323) 585-0732, or through Ayers, Corina via phone (323) 585-0732.

Contact Information

Primary practice address
2955 E Florence Ave Huntington Park CA 90255-5836
Phone: (323) 585-0732
Fax: (323) 585-1673
Website:
Map and Directions
Authorized official contact:
Name: Ayers, Corina
Phone: (323) 585-0732

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A050144 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X A048644 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17148 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA12501 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA15773 California

Profile Details

NPI number 1225168024
LBN Legal business name Luis A. Galdamez, Md Inc.
DBA Doing business as Clinica Medica Virgen De Guadalupe
Authorized official Ayers, Corina
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1225168024 NPPES
California MEDICAID GR0067940

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