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General NPI Number Information
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NPI Number | 1255400669
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Entity Type | Organization
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Legal Business Name | SANTO TOMAS MEDICAL CLINIC INC
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7862 FIRESTONE BLVD
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City | DOWNEY
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State | CA
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Zip | 90241-4221
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Country | US
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Telephone | 562-869-7007
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Fax | 562-862-6418
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Provider Business Mailing Address
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Address Line | 7862 FIRESTONE BLVD
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City | DOWNEY
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State | CA
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Zip | 90241-4221
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Country | US
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Telephone | 562-869-7007
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Fax | 562-862-6418
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Authorized Official
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Title or Position | PCP
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Name | VIRGINIA A AGUILAR
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Credential | M.D.
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Telephone | 562-869-7007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State | CA
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