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1649540022 NPI number — CLINICA 'LOS ANGELES'

NPI Number: 1649540022
Health Care Provider/Practitioner: CLINICA 'LOS ANGELES'

Information about “1649540022” NPI (CLINICA 'LOS ANGELES') exists in 1649540022 in HTML format HTML  |  1649540022 in plain Text format TXT  |  1649540022 in PDF (Portable Document Format) PDF  |  1649540022 in an XML format XML  formats.

NPI Number : 1649540022 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649540022",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "ANGEL'S MEDICAL COMPANY",
    "ParentOrgTIN": null,
    "OrgName": "CLINICA 'LOS ANGELES'",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5038 CORONADO PKWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NAPLES",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34116-6950",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "239-234-6948",
    "MailingAddressFaxNumber": "239-331-2362",
    "FirstLinePracticeLocationAddress": "5038 CORONADO PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NAPLES",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34116-6950",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "239-234-6948",
    "PracticeLocationAddressFaxNumber": "239-331-2362",
    "EnumerationDate": "01/03/2012",
    "LastUpdateDate": "01/03/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DIAZ",
    "AuthorizedOfficialFirstName": "JUANA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "239-234-6948",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261Q00000X",
        "TaxonomyName": "Clinic/Center",
        "LicenseNumber": "HCC-3923",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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