Clinica Nueva Vida Medical INC
NPI #1164119970 in Burbank, California
Provider Information
- NPI Number
- 1164119970
- Entity Type
- Organization
- Organization Name
- Clinica Nueva Vida Medical INC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Apr 20, 2023
- Last Updated
- Apr 20, 2023
Practice Location
- Address
- 10970 SHERMAN WAY STE 114
- City
- Burbank
- State
- California
- ZIP Code
- 91505-1003
- Phone
- (818) 847-1007
Authorized Official
- Name
- DR. HERMAN FRICKE CARRILLO, MD
- Title
- MD/CEO
- Phone
- (818) 847-1007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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