| Clinica Popular Medical Group | |
|
2410 W. 7th St Los Angeles CA 90057-3904 | |
| (213) 381-7175 | |
| (213) 381-7028 |
| Full Name | Clinica Popular Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 2410 W. 7th St, Los Angeles, California |
| Authorized Official Name and Position | Daniel Berdakin (PRESIDENT) |
| Authorized Official Contact | 2133817175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Popular Medical Group 2410 W. 7th St Loas Angeles CA 90057-3904 Ph: (213) 381-7175 | Clinica Popular Medical Group 2410 W. 7th St Los Angeles CA 90057-3904 Ph: (213) 381-7175 |
| NPI Number | 1528101029 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528101029 | NPI | - | NPPES |
| WA35536D | Other | CA | RENDERING PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | 207QA35536D (California) | Primary |
| 207R00000X | Internal Medicine | 207RA35536D (California) | Primary |
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