Los Hermanos Medical Clinic Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LOS HERMANOS MEDICAL CLINIC INC

Practice address

2715 Santa Ana St
South Gate, CA 90280-2021

Phone

(323) 583-0450

Fax

(323) 583-0012

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Edgar Reyes, P.A.

Title

Secretary

Phone

(323) 583-0450

Specialties & licenses 1

Addresses

Other names 1

• LOS HERMANOS Other name

Locations

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699713255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 SANTA ANA ST",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802021",
            "telephone_number": "323-583-0450",
            "fax_number": "323-583-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 SANTA ANA ST",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802021",
            "telephone_number": "323-583-0450",
            "fax_number": "323-583-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS HERMANOS MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "323-583-0450",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOS HERMANOS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elsy Noemi Lopez, RDHAP
• Liduvina Lopez
• Patricia Andrea Lopez, PHARMD
• Yessica Lopez
• Los Angeles Centers for Alcohol and Drug Abuse
• Los Reyes Cliinica Medica, Inc
• Los Reyes Clinica Medica, Inc.
• Los Reyes Medical Clinic, Inc
• Stanley Lowe, D.P.M.
• Loyola Family Health Center Professional Corporation

• Specialist in South Gate, CA
• Providers in South Gate, CA by specialty
• Specialist 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.