Mission San Juan Medical Clinic

LBN: Mission San Juan Medical Clinic
Mission San Juan Medical Clinic is an health care organization with primary practice located at 9914 San Juan Ave , South Gate CA 90280-6108. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Mission San Juan Medical Clinic can be contacted via phone (323) 564-1100, or through Torres, Noel Jr via phone (323) 564-1100.

Contact Information

Primary practice address
9914 San Juan Ave South Gate CA 90280-6108
Phone: (323) 564-1100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Torres, Noel Jr Doctor of Medicine (MD)
Phone: (323) 564-1100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A93526 California

Profile Details

NPI number 1023271830
LBN Legal business name Mission San Juan Medical Clinic
DBA Doing business as
Authorized official Torres, Noel Jr Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2008
Last updated Jul 2nd, 2008 - about 16 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 1023271830 NPPES
California Other A93526 CA MEDICAL LICENSE

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