Clinica Santa Clara a Medical Corporation
NPI #1295168250 in Cudahy, California
Provider Information
- NPI Number
- 1295168250
- Entity Type
- Organization
- Organization Name
- Clinica Santa Clara a Medical Corporation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Aug 14, 2013
- Last Updated
- Aug 14, 2013
Practice Location
- Address
- 7643 ATLANTIC AVE
- City
- Cudahy
- State
- California
- ZIP Code
- 90201-5019
- Phone
- (323) 771-1713
Authorized Official
- Name
- KENNY HEINE
- Title
- VP OF OPERATIONS
- Phone
- (858) 964-1506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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