Citrus Valley Family Medical Clinic, Inc.
Organization Active NPI Primary Care Clinic/Center · La Puente, CA
NPI 1598833469 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1598833469
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- A48167 (CA)
- Legal business name
- CITRUS VALLEY FAMILY MEDICAL CLINIC, INC.
- Practice address
- 1400 N Hacienda Blvd
La Puente, CA 91744-1187 - Phone
- (626) 931-2200
- Fax
- (626) 931-2203
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Jorge I Jaramillo, M.D.
- Title
- President
- Phone
- (626) 931-2200
Practitioners 2
-
Rafael Carcamo, MD
-
Rebecca Loreto, NP
National Provider Directory
Locations
1400 N Hacienda Blvd
La Puente, CA 91744
Phone (626) 931-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | A48167 | CA | Yes |
Addresses
Primary practice location
1400 N Hacienda Blvd
La Puente, CA 91744-1187
Mailing address
1400 N Hacienda Blvd
La Puente, CA 91744-1187
Phone (626) 931-2200
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- Brandy Cole
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All providers in La Puente, CA · Primary Care Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.