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NPI Code Detail

MEDICARE: JOSE DALPRAT A PROFESSIONAL MEDICAL CORPORATION

MEDICARE: JOSE DALPRAT A PROFESSIONAL MEDICAL CORPORATION
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
1207Q00000XFamily Medicine Physician20A11851CA
2363LF0000XFamily Nurse Practitioner22666CA

General Provider Information

NPI Number : 1821599804
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSE DALPRAT A PROFESSIONAL MEDICAL CORPORATION
Provider Business Mailing Address
First Line : 6025 N FIGUEROA ST STE B
Second Line :
City : LOS ANGELES
State : CA
Zip : 90042-1365
Country : US
Telephone Number : 323-507-2311
Fax Number : 323-621-6188
Provider Business Practice Location Address
First Line : 6025 N FIGUEROA ST STE B
Second Line :
City : LOS ANGELES
State : CA
Zip : 90042-1365
Country : US
Telephone Number : 323-507-2311
Fax Number : 323-621-6188
Authorized Official
Title or Position : VICE PRESIDENT AND SECRETARY,
Name : REBECA E CUATRO
Credential : NP
Telephone Number : 323-507-2311
Provider Enumeration Date : 02/23/2018
Last Update Date : 02/23/2018

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Directions to “JOSE DALPRAT A PROFESSIONAL MEDICAL CORPORATION ” Practice Location

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