| Clinica Medica San Blas | |
|
7777 Katella Avenue Stanton CA 90680 | |
| (714) 220-2223 | |
| (714) 220-2249 |
| Full Name | Clinica Medica San Blas |
|---|---|
| Speciality | General Practice |
| Location | 7777 Katella Avenue, Stanton, California |
| Authorized Official Name and Position | Jesus Manuel Frausto (PRESIDENT) |
| Authorized Official Contact | 7142202223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Medica San Blas 7777 Katella Avenue Stanton CA 90680 Ph: (714) 220-2223 | Clinica Medica San Blas 7777 Katella Avenue Stanton CA 90680 Ph: (714) 220-2223 |
| NPI Number | 1982035069 |
|---|---|
| Provider Enumeration Date | 11/27/2013 |
| Last Update Date | 11/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982035069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A-79043 (California) | Primary |
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