San Angel Medical Clinic, Inc.

LBN: San Angel Medical Clinic, Inc.
San Angel Medical Clinic, Inc. is an health care organization with primary practice located at 2661 E Florence Ave Suuite D-1, Huntington Park CA 90255-4793. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is the primary health care specialty. San Angel Medical Clinic, Inc. can be contacted via phone (323) 588-6113, or through Kramer, Stephine via phone (323) 588-6113.

Contact Information

Primary practice address
2661 E Florence Ave Suuite D-1 Huntington Park CA 90255-4793
Phone: (323) 588-6113
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kramer, Stephine Doctor of Medicine (MD)
Phone: (323) 588-6113

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A44599 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G86496 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A52088 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA15560 California

Profile Details

NPI number 1699975557
LBN Legal business name San Angel Medical Clinic, Inc.
DBA Doing business as
Authorized official Kramer, Stephine Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2007
Last updated Sep 20th, 2013 - about 12 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 1699975557 NPPES
California MEDICAID GR0100930

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