Clinica Los Remedios Medical Group

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A51157 Issued in CA

Legal business name

CLINICA LOS REMEDIOS MEDICAL GROUP

Practice address

2400 W 7TH St Ste 114
Los Angeles, CA 90057-5008

Phone

(213) 389-9595

Fax

(213) 389-2556

NPI assigned

Mar 17, 2009

Last updated

Mar 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Raynaldo Limpin Makabali, M.D.

Title

President

Phone

(213) 389-9595

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Clinica Los Remedios Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Reynaldo L. Makabali MD, Inc.

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1306079181
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reynaldo Limpin Makabali, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1598757577

  Pediatrics

  NPD

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1174764351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 W 7TH ST STE 114",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900575008",
            "telephone_number": "213-389-9595",
            "fax_number": "213-389-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W 7TH ST STE 114",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900575008",
            "telephone_number": "213-389-9595",
            "fax_number": "213-389-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA LOS REMEDIOS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "MAKABALI",
        "authorized_official_first_name": "RAYNALDO",
        "authorized_official_middle_name": "LIMPIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-389-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A51157",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A51157",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0065990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clinica de Los Angeles Medical Group , Inc
• Clinica del Cuidado Latino Medical Group Inc
• Clinica del Dr. Castillo Y Dr. Silva, Inc.. (Clinica del Dr Castillo Y Dr Silva)
• Clinica del Socorro Medical Group,Inc.
• Clinica Juan Pablo, Inc. (Clinica Juan Pablo Medical Group)
• Clinica Los Remedios Pediatric Family Medical Clinic, Inc.
• Clinica Medica Americana Medical Center
• Clinica Medica Cathedral
• Clinica Medica Dr Juan Escobar Inc
• Clinica Medica Familiar San Judas Medical Corporation

• Pediatrics Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.