Policlinica Familiar San Judas INC
NPI #1194071753 in East Los Angeles, California
Provider Information
- NPI Number
- 1194071753
- Entity Type
- Organization
- Organization Name
- Policlinica Familiar San Judas INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 31, 2012
- Last Updated
- Jan 23, 2014
Practice Location
- Address
- 6007 WHITTIER BLVD
- City
- East Los Angeles
- State
- California
- ZIP Code
- 90022-4401
- Phone
- (323) 725-1144
Authorized Official
- Name
- MRS. GLADIS N. FUNES, FAMILY NURSE PRACTIT
- Title
- NURSE PRACTITIONER
- Phone
- (323) 725-1144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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