Organization · Type 2 NPI
Pico Clinica Medica Latina, A Medical Group, Inc
General Practice Physician · Los Angeles, CA
NPI number
1740329101
Active
Practice location
1600 W Pico Blvd
Los Angeles, CA 90015-2410
Fax (213) 386-5323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | A40110 (CA) |
| General Practice Physician | 208D00000X | A39524 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
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About NPI 1740329101
Pico Clinica Medica Latina, A Medical Group, Inc's National Provider Identifier is 1740329101, issued on Feb 5, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 9, 2009.