Clinica San Judas

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A36591 Issued in 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

Last updated

Mar 24, 2012By 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

Mrs. Rosa Martinez

Title

Office Administrator

Phone

(323) 773-0591

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332547200000",
    "number": "1407130883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4946 FLORENCE AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902014319",
            "telephone_number": "323-773-0591",
            "fax_number": "323-773-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4946 FLORENCE AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902014319",
            "telephone_number": "323-773-0591",
            "fax_number": "323-773-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA SAN JUDAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2012-03-24",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "323-773-0591",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A36591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Maria Castillo, MSW, LCSW
• Cynthia Josephine Chacon
• Chang J. Lee, MD, Inc.
• Bianca Chihuahua, PA-C
• Maria Tze-Kwan Chong, RPH
• Community Family Guidance Center
• Community Family Guidance Center
• Complete Diagnostic Center Inc
• Comprehensive Community Health Centers, Inc
• Consumerhealth, Inc. (Newport Dental - Bell (ORTHO))

• General Practice Physician in Bell, CA
• Providers in Bell, 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 Mar 24, 2012; 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.