Del Pueblo Medical Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A859840 Issued in CA

Legal business name

DEL PUEBLO MEDICAL CLINIC

Practice address

2721 N Broadway
Los Angeles, CA 90031-2609

Phone

(323) 223-0916

Fax

(323) 223-8411

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Rene Lopez

Title

Partner

Phone

(213) 272-7186

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689779977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064544",
            "telephone_number": "213-387-8515",
            "fax_number": "213-387-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312609",
            "telephone_number": "323-223-0916",
            "fax_number": "323-223-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL PUEBLO MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "213-272-7186",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A859840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A859840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent Michael Del Duca, MD
• Oziel Clemente Del Fierro, L.V.N.
• Danielle Del Haro
• Kayla Del Hoyo
• Walter Del Pinal, PA
• Evelyn Del Real, OD
• Mayra Del Real, MSW
• Quetzal Del Real
• Del Refugio Healthcare Inc
• Melanie Del Rio Miguez

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.