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NPI Code Detail

MEDICARE: MACARTHUR PARK MEDICAL CLINIC

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
1208000000XPediatrics PhysicianA30080CA
2207Q00000XFamily Medicine PhysicianA30080CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID 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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