| Santa Adelina Medical Clinic Inc | |
|
680 E Alosta Ave Suite 209 Azusa CA 91702-2705 | |
| (626) 812-9733 | |
| (626) 981-2974 |
| Full Name | Santa Adelina Medical Clinic Inc |
|---|---|
| Speciality | General Practice |
| Location | 680 E Alosta Ave, Azusa, California |
| Authorized Official Name and Position | Jorge Velazquez (PRESIDENT) |
| Authorized Official Contact | 6268129733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Adelina Medical Clinic Inc 680 E Alosta Ave Suite 209 Azusa CA 91702-2705 Ph: (626) 812-9733 | Santa Adelina Medical Clinic Inc 680 E Alosta Ave Suite 209 Azusa CA 91702-2705 Ph: (626) 812-9733 |
| NPI Number | 1508284878 |
|---|---|
| Provider Enumeration Date | 04/02/2014 |
| Last Update Date | 04/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508284878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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