Clinica Medica San Pedro of California, INC

NPI #1417271305 in Norwalk, California

Provider Information

NPI Number: 1417271305
Entity Type: Organization
Organization Name: Clinica Medica San Pedro of California, INC
Primary Specialty: Pediatrics
Enumeration Date: Mar 21, 2010
Last Updated: Mar 21, 2010

Practice Location

Address: 13939 SAN ANTONIO DR
City: Norwalk
State: California
ZIP Code: 90650-4036
Phone: (562) 863-1212

Authorized Official

Name: DR. JOSE MANUEL DIAZ, MD
Title: PRESIDENT
Phone: (562) 863-1212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X
Pediatrics	208000000X	Primary

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