Organization · Type 2 NPI
San Manuel Medical Clinic,inc
Specialist · Walnut Park, CA
NPI number
1831456482
Active
Practice location
7400 Pacific Blvd Ste A
Walnut Park, CA 90255-5739
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | A84082 (CA) |
| Family Medicine Physician | 207Q00000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
Other specialist providers in Walnut Park
About NPI 1831456482
San Manuel Medical Clinic,inc's National Provider Identifier is 1831456482, issued on Apr 20, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Walnut Park, CA. The record was last updated on Apr 20, 2012.