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NPI Code Detail

MEDICARE: EAST LA PAZ MEDICAL CLINIC

MEDICARE: EAST LA PAZ 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
1363AM0700XMedical Physician AssistantPA 15296CA
2208D00000XGeneral Practice PhysicianG56407CA
3208D00000XGeneral Practice PhysicianA23808CA
4213EP1101XPrimary Podiatric Medicine PodiatristE 4677CA

General Provider Information

NPI Number : 1881616761
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAST LA PAZ MEDICAL CLINIC
Provider Business Mailing Address
First Line : 3712 WHITTIER BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90023
Country : US
Telephone Number : 323-268-8347
Fax Number : 323-268-8368
Provider Business Practice Location Address
First Line : 3712 WHITTIER BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90023-1733
Country : US
Telephone Number : 323-268-8347
Fax Number : 323-268-8368
Authorized Official
Title or Position : PRESIDENT
Name : WILLIAM CHU
Credential : PAC
Telephone Number : 323-268-8347
Provider Enumeration Date : 07/23/2006
Last Update Date : 03/18/2014

Similar Medicare Providers

1043227804 — MR. WILLIAM CHU PA-C
Practice Location Address:
3712 WHITTIER BLVD
LOS ANGELES, CA
90023-1733
Practice Phone: 323-268-8347
Practice Fax: 323-268-8368
1811050859 — TRUONG & DUONG MEDICAL CORP
Practice Location Address:
3712 WHITTIER BLVD
LOS ANGELES, CA
90023-1733
Practice Phone: 323-268-8347
Practice Fax: 323-268-8368
1255452454 — QUYNAM P NGUYEN M.D.
Practice Location Address:
3712 WHITTIER BLVD , 1024 E PACIFIC COAST HWY
LOS ANGELES, CA
90023-1733
Practice Phone: 323-268-8347
Practice Fax: 323-268-8368
1205014339 — SIRI HONGSATHAVIJ M.D.
Practice Location Address:
3712 WHITTIER BLVD
LOS ANGELES, CA
90023-1733
Practice Phone: 626-372-9549
Practice Fax:
1215359450 — EAST LA PAZ FAMILY MEDICAL CLINIC, PC
Practice Location Address:
3712 WHITTIER BLVD # 1
LOS ANGELES, CA
90023-1733
Practice Phone: 323-268-8347
Practice Fax: 323-268-8368
1902355647 — EAST LA PAZ FAMILY MEDICAL CLINIC PA
Practice Location Address:
3712 WHITTIER BLVD , SUITE 1
LOS ANGELES, CA
90023-1733
Practice Phone: 323-268-8347
Practice Fax: 323-268-8368

Directions to “EAST LA PAZ MEDICAL CLINIC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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