MEDICARE: MACARTHUR PARK MEDICAL CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	A30080	CA
2	207Q00000X	Family Medicine Physician	A30080	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730266248
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MACARTHUR PARK MEDICAL CLINIC

Provider Business Mailing Address
First Line	:	2228 WEST 7TH STREET
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057
Country	:	US
Telephone Number	:	213-383-5773
Fax Number	:	213-383-5783

Provider Business Practice Location Address
First Line	:	2228 WEST 7TH STREET
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057
Country	:	US
Telephone Number	:	213-383-5773
Fax Number	:	213-383-5783

Authorized Official
Title or Position	:	MD
Name	:	ALICIA ZABELLA LAANO
Credential	:	MD
Telephone Number	:	213-383-5773

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	09/11/2025

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Directions to “MACARTHUR PARK MEDICAL CLINIC ” Practice Location

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