Queens Care Family Clinic

NPI 1104813146 - Clinic/Center - 261QC1500X

NPI Details
NPI 1104813146
Enumeration Date 10/04/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name PAULA L PAULA
Position FAMILY NURSE PRACTITIONER
Phone (213) 380-7298
Fax (213) 384-0951
Practice Location
150 N RENO ST
LOS ANGELES CA, 90026-4656, US
Phone (213) 380-7298
Fax (213) 384-0951
Business Location
150 N RENO ST
LOS ANGELES CA, 90026-4656, US
Phone (213) 380-7298
Fax (213) 384-0951
Toxanomy
Taxonomy Code 261QC1500X
License State California
License Number 510678
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According to our database, Queens Care Family Clinic NPI is 1104813146, taxonomy code is 261QC1500X and license number is 510678, license state is located at California. Queens Care Family Clinic physically located at 150 N Reno St, Los Angeles CA, 90026-4656. NPI Number 1033115704 has the healthcare provider type.

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1104813146 NPI number is provided on an as is basis without warranty of any kind. 1104813146 is maintained by the National Plan & Provider Enumeration System. The contents of Queens Care Family Clinic are for informational purposes only.