| Clinica Los Remedios Pediatric Family Medical Clinic, Inc. | |
|
2400 W 7th St Suite 110 Los Angeles CA 90057-5008 | |
| (213) 389-9595 | |
| (213) 389-2556 |
| Full Name | Clinica Los Remedios Pediatric Family Medical Clinic, Inc. |
|---|---|
| Speciality | Pediatrics |
| Location | 2400 W 7th St, Los Angeles, California |
| Authorized Official Name and Position | Reynaldo Limpin Makabali (PRESIDENT) |
| Authorized Official Contact | 2133899595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Los Remedios Pediatric Family Medical Clinic, Inc. 2400 W 7th St Suite 110 Los Angeles CA 90057-5008 Ph: (213) 389-9595 | Clinica Los Remedios Pediatric Family Medical Clinic, Inc. 2400 W 7th St Suite 110 Los Angeles CA 90057-5008 Ph: (213) 389-9595 |
| NPI Number | 1114222130 |
|---|---|
| Provider Enumeration Date | 01/22/2011 |
| Last Update Date | 05/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114222130 | NPI | - | NPPES |
| GR0065990 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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