Clinica Medica Teocali de Boyle Heights, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A42108 Issued in CA

Legal business name

CLINICA MEDICA TEOCALI DE BOYLE HEIGHTS, INC.

Practice address

2935 Whittier Blvd
Los Angeles, CA 90023-1528

Phone

(323) 264-4545

Fax

(323) 264-4500

NPI assigned

Mar 27, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Arturo Velazquez Jr., M.D.

Title

President

Phone

(323) 264-4545

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacobo Nava Flores, M.D

  • Adult Medicine Physician
  • Oceanside, CA
  • NPI 1164469201
  NPD (past)
• Jose Sergio Sandoval, P.A.

  • Medical Physician Assistant
  • Los Angeles, CA
  • NPI 1831417138
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811015076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231528",
            "telephone_number": "323-264-4545",
            "fax_number": "323-264-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231528",
            "telephone_number": "323-264-4545",
            "fax_number": "323-264-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MEDICA TEOCALI DE BOYLE HEIGHTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "ARTURO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-264-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A42108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinica Medica Mi Pueblo, Medical Clinic, Inc
• Clinica Monsignor Oscar a Romero
• Clinica Monsignor Oscar a Romero
• Clinica Monsignor Oscar a. Romero (Clinica Msr Oscar A Romero)
• Clinica MSR Oscar a Romero
• Clinica MSR Oscar a Romero

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family 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.