Clinica Mi Salud LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CLINICA MI SALUD LLC

Practice address

2470 S Redwood Rd Ste 208
West Valley City, UT 84119-2197

Phone

(801) 214-0500

Fax

(801) 214-0600

NPI assigned

Sep 30, 2021

Organization subpart

No

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

Authorized official

Name

Israel Alarcon

Title

Clinic Director

Phone

(801) 897-9939

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1487326195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 S REDWOOD RD STE 208",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841192197",
            "telephone_number": "801-214-0500",
            "fax_number": "801-214-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 S REDWOOD RD STE 208",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841192197",
            "telephone_number": "801-214-0500",
            "fax_number": "801-214-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MI SALUD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "ALARCON",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "801-897-9939"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.