Aliso Medical Clinic, INC

NPI #1154457745 in Los Angeles, California

Provider Information

NPI Number: 1154457745
Entity Type: Organization
Organization Name: Aliso Medical Clinic, INC
Primary Specialty: General Practice
Enumeration Date: Feb 26, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1625 E 4TH ST
City: Los Angeles
State: California
ZIP Code: 90033-4201
Phone: (323) 268-8391

Authorized Official

Name: MRS. CHRISTINE BARNES-KEITH
Title: ADMINISTRATOR
Phone: (323) 268-8391

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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