| The Wall Las Memorias | |
|
2020 E 1st St Los Angeles CA 90033-3916 | |
| (323) 257-1056 | |
| (323) 529-0200 |
| Full Name | The Wall Las Memorias |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 2020 E 1st St, Los Angeles, California |
| Authorized Official Name and Position | Richard L. Zaldivar (EXECUTIVE DIRECTOR/FOUNDER) |
| Authorized Official Contact | 3232571056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wall Las Memorias 800 W 6th St Ste 750 Los Angeles CA 90017-2747 Ph: (323) 257-1056 | The Wall Las Memorias 2020 E 1st St Los Angeles CA 90033-3916 Ph: (323) 257-1056 |
| NPI Number | 1649086166 |
|---|---|
| Provider Enumeration Date | 12/09/2024 |
| Last Update Date | 12/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649086166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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