Organization · Type 2 NPI
Four Season Clinic
Ph.D. Medical Genetics · Huntington Park, CA
NPI number
1023033818
Active
Practice location
5900 Pacific Blvd, Suite 202A
Huntington Park, CA 90255-2914
Fax (323) 588-9994
Mailing address
PO Box 5046
Huntington Park, CA 90255-9046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ph.D. Medical Genetics Primary | 170100000X | A36991 (CA) |
Ph.D. Medical Genetics: A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.
2 other providers at this address
About NPI 1023033818
Four Season Clinic's National Provider Identifier is 1023033818, issued on Jul 13, 2006. The primary taxonomy on file is Ph.D. Medical Genetics (170100000X), and the practice location is in Huntington Park, CA. The record was last updated on Aug 22, 2020.