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General NPI Number Information
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NPI Number | 1962459479
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Entity Type | Organization
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Legal Business Name | VALLEY CLINICA MEDICA GENERAL MEDICAL CENTER INC.
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 05/26/2023
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Provider Practice Location Address
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Address Line | 8646 WOODMAN AVE
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City | ARLETA
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State | CA
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Zip | 91331-6503
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Country | US
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Telephone | 818-901-9090
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Fax | 818-901-9347
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Provider Business Mailing Address
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Address Line | PO BOX 564
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City | BEVERLY HILLS
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State | CA
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Zip | 90213-0564
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Country | US
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Telephone | 213-637-2530
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Fax | 213-384-3373
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JOSE L CARRILLO JR.
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Credential |
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Telephone | 213-739-3282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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