John Paul II Medical Clinic Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A052551 Issued in CA

Legal business name

JOHN PAUL II MEDICAL CLINIC INC

Practice address

6529 Seville Ave
Huntington Park, CA 90255-5745

Phone

(323) 582-5770

Fax

(323) 582-1103

NPI assigned

May 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel Waldo Velasquez, MD

Title

Owner

Phone

(323) 582-5770

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nelson Manrique Villalta, OPTICIAN

  • Optician
  • Huntington Park, CA
  • NPI 1639710296
  NPD
• Ekerette J Essien, PH.D.

  • Clinical Psychologist
  • Riverside, CA
  • NPI 1396706438
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1033326863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 253",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902410253",
            "telephone_number": "323-582-5770",
            "fax_number": "323-582-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6529 SEVILLE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555745",
            "telephone_number": "323-582-5770",
            "fax_number": "323-582-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN PAUL II MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "VELASQUEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "WALDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-582-5770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A052551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph B Jimenez
• Jin Kyu Lee DDS Inc
• Joel Kim DMD Inc
• John C Lee MD Inc
• John J. Choi DDS,Inc
• John Paul II Medical Clinic Inc a Professional Corporation
• Dianne Johnson
• Lynnea Johnson
• Join Clinical Trials
• Gloria Jones

• General Practice Physician in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.