NPIMap

Organization Active NPI

Los Angeles Clinica Medica General Medical Center, Inc.

  • Family Medicine Physician
  • El Monte, CA
National Provider Identifier
1093367476
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LOS ANGELES CLINICA MEDICA GENERAL MEDICAL CENTER, INC.
Practice address
11001 Main St Ste 301
El Monte, CA 91731-2620
Phone
(626) 443-4300
Fax
(626) 443-9646
NPI assigned
Jul 15, 2019
Organization subpart
Yes
Parent organization
EL MONTE CLINICA MEDICA GENERAL MEDICAL CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Mr. Jose Carrillo
Title
Office Manager
Phone
(213) 739-3282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

11001 Main St Ste 301
El Monte, CA 91731-2620

Mailing address

2208 W 7TH St
Los Angeles, CA 90057-4002
Phone (213) 739-3282

National Provider Directory

National Provider Directory
Tax ID family
Los Angeles Clinica Medica General Medical Center Inc3 organizations share this tax ID, including this one
Part of
El Monte Clinica Med

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11001 Main St
Ste 301
El Monte, CA 91731
Phone (626) 443-4300

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1093367476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 W 7TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574002",
            "telephone_number": "213-739-3282",
            "fax_number": "213-384-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 MAIN ST STE 301",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312620",
            "telephone_number": "626-443-4300",
            "fax_number": "626-443-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES CLINICA MEDICA GENERAL MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EL MONTE CLINICA MEDICA GENERAL MEDICAL CENTER, INC",
        "enumeration_date": "2019-07-15",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "213-739-3282",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.