Clinica Medica San Miguel Ipa, a Medical Group, Inc.
NPI #1447445200 in San Marino, California
Provider Information
- NPI Number
- 1447445200
- Entity Type
- Organization
- Organization Name
- Clinica Medica San Miguel Ipa, a Medical Group, Inc.
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Sep 13, 2007
- Last Updated
- Sep 13, 2007
Practice Location
- Address
- 2360 HUNTINGTON DR STE 201
- City
- San Marino
- State
- California
- ZIP Code
- 91108-2651
- Phone
- (626) 656-2370
Authorized Official
- Name
- MRS. LAN N PHAM, MPH
- Title
- ADMINISTRATOR
- Phone
- (626) 656-2370
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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