Nueva Esperanza Healthcare Medical Clinic Inc.

NPI 1063781565 - Family Medicine - 207Q00000X

NPI Details
NPI 1063781565
Enumeration Date 12/29/2011
Last Updated 12/29/2011
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name AMANI A AMANI
Position PRESIDENT
Phone (323) 778-8485
Fax (323) 778-4452
Practice Location
1704 W MANCHESTER AVE
SUITE 109
LOS ANGELES CA, 90047-3063, US
Phone (323) 778-8485
Fax (323) 778-4452
Business Location
1704 W MANCHESTER AVE
SUITE 109
LOS ANGELES CA, 90047-3063, US
Phone (323) 778-8485
Fax (323) 778-4452
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number A106748
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According to our database, Nueva Esperanza Healthcare Medical Clinic Inc. NPI is 1063781565, taxonomy code is 207Q00000X and license number is A106748, license state is located at California. Nueva Esperanza Healthcare Medical Clinic Inc. physically located at 1704 W Manchester Ave, Los Angeles CA, 90047-3063. NPI Number 1033115704 has the healthcare provider type.

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1063781565 NPI number is provided on an as is basis without warranty of any kind. 1063781565 is maintained by the National Plan & Provider Enumeration System. The contents of Nueva Esperanza Healthcare Medical Clinic Inc. are for informational purposes only.