Clinica Medica San Marcos, INC
NPI #1649457037 in South Gate, California
Provider Information
- NPI Number
- 1649457037
- Entity Type
- Organization
- Organization Name
- Clinica Medica San Marcos, INC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jan 28, 2008
- Last Updated
- Jan 10, 2013
Practice Location
- Address
- 3221 LIBERTY BLVD
- City
- South Gate
- State
- California
- ZIP Code
- 90280-2315
- Phone
- (323) 566-9171
Authorized Official
- Name
- GUSTAVO T. ROLDAN, PA-C
- Title
- MANAGER
- Phone
- (323) 566-9171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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