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General NPI Number Information
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NPI Number | 1386588481
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Entity Type | Organization
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Legal Business Name | CLINICA MONSIGNOR OSCAR A. ROMERO
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 9919 LAUREL CANYON BLVD
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City | PACOIMA
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State | CA
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Zip | 91331-3940
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Country | US
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Telephone | 213-989-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 123 S ALVARADO ST
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City | LOS ANGELES
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State | CA
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Zip | 90057-2201
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Country | US
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Telephone | 213-989-7700
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Fax | 213-989-7701
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Authorized Official
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Title or Position | COMPLIANCE MANAGER
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Name | SHADMAN SAQIB CHOWDHURY
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Credential |
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Telephone | 213-436-5251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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