Clinica San Judas

Organization Active NPI General Practice Physician · Bell, CA

NPI 1407130883 · NPPES record last updated Mar 24, 2012

Key facts

NPI
1407130883
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
License
A36591 (CA)
Legal business name
CLINICA SAN JUDAS
Practice address
4946 Florence Ave
Bell, CA 90201-4319
Phone
(323) 773-0591
Fax
(323) 773-3222
NPI assigned
Oct 4, 2011
Organization subpart
No

Authorized official

Name
Mrs. Rosa Martinez
Title
Office Administrator
Phone
(323) 773-0591

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208D00000X A36591 CA Yes

Addresses

Primary practice location

4946 Florence Ave
Bell, CA 90201-4319

Mailing address

4946 Florence Ave
Bell, CA 90201-4319
Phone (323) 773-0591

Other providers in Bell, CA

All providers in Bell, CA · General Practice Physician in California

Sources for this page

Verify at the official NPI Registry.