La Paz Medical Clinic, INC

NPI #1124452875 in Duarte, California

Provider Information

NPI Number: 1124452875
Entity Type: Organization
Organization Name: La Paz Medical Clinic, INC
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Aug 29, 2013
Last Updated: Aug 29, 2013

Practice Location

Address: 1345 HUNTINGTON DR
City: Duarte
State: California
ZIP Code: 91010-2527
Phone: (626) 359-8604

Authorized Official

Name: DR. RICHARD BERTON MANTELL, MD
Title: OWNER
Phone: (626) 359-8604

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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