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General NPI Number Information
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NPI Number | 1962346700
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Entity Type | Organization
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Legal Business Name | CLINICA MEDICA CORAZON, A MEDICAL CORP
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 831 S HARBOR BLVD
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City | ANAHEIM
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State | CA
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Zip | 92805-5157
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Country | US
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Telephone | 714-491-7777
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Fax | 714-491-7778
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Provider Business Mailing Address
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Address Line | 1108 W 17TH ST
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City | SANTA ANA
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State | CA
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Zip | 92706-3506
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Country | US
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Telephone | 714-496-9913
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Fax | 714-496-9913
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Authorized Official
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Title or Position | CFO
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Name | MARIA LORENA MAGALLON
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Credential |
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Telephone | 714-916-3824
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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 |
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License Number State |
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