Clinica Medica del Sol Group Inc
Organization Active NPI Family Medicine Physician · La Puente, CA
NPI 1174833974 · NPPES record last updated Jun 14, 2013
Key facts
- NPI
- 1174833974
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CLINICA MEDICA DEL SOL GROUP INC
- Practice address
- 1431 N Hacienda Blvd
La Puente, CA 91744-1133 - Phone
- (626) 918-3828
- Fax
- (626) 918-3538
- NPI assigned
- Oct 14, 2010
- Organization subpart
- No
Authorized official
- Name
- Lisa Toledo
- Title
- Office Manager
- Phone
- (626) 918-3828
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0724674 | Clinica Medica del Sol Group | Certificate of waiver | Sep 5, 2027 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1431 N Hacienda Blvd
La Puente, CA 91744-1133
Mailing address
1431 N Hacienda Blvd
La Puente, CA 91744-1133
Phone (626) 918-3828
Other providers in La Puente, CA
- Andrew G Chong
- Thomas Wan Chong
- David Chou
- Lin Liu Chou
- Citrus Valley Family Medical Clinic, Inc.
- Clinica Medica Mi Salud, Inc.
- Clinica Medica San Pedro of California Inc
- Brandy Cole
- Rachel Lynn Davis Coleman
- Arelia Conde
All providers in La Puente, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.