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General NPI Number Information
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NPI Number | 1366870727
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICAL CLINICS OF CALIFORNIA, INC
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Dates
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Enumeration Date | 10/23/2013
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Last Update Date | 11/07/2013
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Provider Practice Location Address
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Address Line | 10410 ROSECRANS AVE
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City | BELLFLOWER
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State | CA
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Zip | 90706-2703
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Country | US
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Telephone | 562-866-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 10410 ROSECRANS AVE
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City | BELLFLOWER
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State | CA
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Zip | 90706-2703
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Country | US
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Telephone | 562-866-3333
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. GEORGE YOUSSEF
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Credential | MD
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Telephone | 562-866-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A42255
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License Number State | CA
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