Active NPI
El Monte Clinica Medica General Medical Center, Inc
- Family Medicine Physician
- Huntington Park, CA
National Provider Identifier
1548813751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- EL MONTE CLINICA MEDICA GENERAL MEDICAL CENTER, INC
- Practice address
- 6347 Pacific Blvd
Huntington Park, CA 90255-4101 - Phone
- (323) 583-8383
- NPI assigned
- Jul 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Juan Carlos Garcia Bachmann
- Title
- Office Manager
- Phone
- (213) 637-2530
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
6347 Pacific Blvd
Huntington Park, CA 90255-4101
Mailing address
11026 Valley Mall
El Monte, CA 91731-2617
Phone (626) 443-4300
Other names 1
- El Monte Clinica Medica General Medical Center, Inc
National Provider Directory
National Provider Directory- Tax ID family
- El Monte Clinica Med
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1396398509
-
- Family Medicine Physician
- Van Nuys, CA
- NPI 1972156180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563321600000",
"number": "1548813751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11026 VALLEY MALL",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917312617",
"telephone_number": "626-443-4300",
"fax_number": "626-443-9646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6347 PACIFIC BLVD",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902554101",
"telephone_number": "323-583-8383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EL MONTE CLINICA MEDICA GENERAL MEDICAL CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-17",
"last_updated": "2019-07-17",
"status": "A",
"authorized_official_last_name": "GARCIA BACHMANN",
"authorized_official_first_name": "JUAN CARLOS",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "213-637-2530"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "El Monte Clinica Medica General Medical Center, Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.