EAST LA PAZ MEDICAL CLINIC (NPI# 1881616761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881616761 |
| Entity Type | Organization |
| Organization Name | EAST LA PAZ MEDICAL CLINIC |
| Other Organization Name | EAST FAMILY MEDICAL CLINIC |
| Practice Address |
3712 Whittier Blvd Los Angeles CA 90023-1733 |
| Mailing Address |
3712 Whittier Blvd Los Angeles CA 90023 |
| Practice Telephone | 3232688347 |
| Practice Fax Number | 3232688368 |
| Mailing Telephone | 3232688347 |
| Mailing Fax Number | 3232688368 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2014-03-18 |
| Authorized Official Name | WILLIAM CHU (PRESIDENT) |
| Authorized Official Telephone | 3232688347 |
| Authorized Official Credential | PAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 15296 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 208D00000X | General Practice | G56407 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | A23808 | CA | Allopathic & Osteopathic Physicians |
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
E 4677 | CA | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| East Family Medical Clinic | Doing Business As Name - Organization |
| Street Address |
3712 WHITTIER BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90023-1733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902355647 | East La Paz Family Medical Clinic Pa | Pharmacy | 3712 Whittier Blvd, Suite 1, Los Angeles, CA 90023-1733 | 2016-09-22 |
| 1205014339 | Siri Hongsathavij | General Practice | 3712 Whittier Blvd, Los Angeles, CA 90023-1733 | 2008-01-31 |
| 1255452454 | Quynam P Nguyen | Internal Medicine | 3712 Whittier Blvd, 1024 E Pacific Coast Hwy, Los Angeles, CA 90023-1733 | 2007-04-03 |
| 1811050859 | Truong & Duong Medical Corp | Podiatrist | 3712 Whittier Blvd, Los Angeles, CA 90023-1733 | 2006-12-19 |
| 1043227804 | William Chu | Physician Assistant | 3712 Whittier Blvd, Los Angeles, CA 90023-1733 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470384 | Chan Family Medical Corp | General Practice | 4070 E. Olympic Blvd, Los Angeles, CA 90023 | 2019-07-26 |
| 1275059511 | Jeff Moreno | Psychoanalyst | 550 Vermount Ave, Los Angeles, CA 90023 | 2017-08-18 |
| 1457714297 | Isabel Garcia | Counselor | 4543 Sabina Street, Los Angeles, CA 90023 | 2016-03-30 |
| 1275950115 | Daniel Lemor | Ophthalmology | 4036 Whittier Blvd Ste 202, Los Angeles, CA 90023 | 2014-03-27 |
| 1073951992 | Behavioral Health Services, Inc. | Community/Behavioral Health | 2515 Whittier Blvd., Los Angeles, CA 90023 | 2013-06-13 |
| 1003115312 | H.r.imankhan,dds,inc | Dentist | 3356 E. Olympic Blvd, Los Angeles, CA 90023 | 2011-03-25 |
| 1508006297 | Ricca Tinnin | Physician Assistant | 1200 N State St., Dept E.r., La, CA 90023 | 2009-02-20 |
| 1538366851 | Sun Heung Lui | Counselor | 3421 E. Olympic Blvd., Los Angeles, CA 90023 | 2007-06-29 |
| 1851519623 | Atlantic Recovery Services | Community/Behavioral Health | 3225 Flunter St, Estrada Courts Sea, Los Angeles, CA 90023 | 2007-04-24 |
| 1548486947 | Manasseh C Nwaigwe | General Practice | 1159 S. Lorena St, Los Angeles, CA 90023 | 2007-04-17 |
| Find all providers in zip 90023 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659418747 | Ross Berliner, Dpm, Inc | Podiatrist | 3545 Griffith Park Blvd, Los Angeles, CA 90027-1404 | 2007-01-30 |
| 1215034509 | Stephen Douglas Harrison | Podiatrist | 321 N Larchmont Blvd Ste 415, Los Angeles, CA 90004-6404 | 2006-09-20 |
| 1811050859 | Truong & Duong Medical Corp | Podiatrist | 3712 Whittier Blvd, Los Angeles, CA 90023-1733 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760017438 | Karen Romines Podiatry Incorporated | Podiatrist | 10100 Fair Oaks Blvd Ste A, Fair Oaks, CA 95628-7154 | 2020-03-03 |
| 1033759709 | Igal Palma | Podiatrist | 2987 Grant St, Concord, CA 94520-4640 | 2020-01-10 |
| 1376013730 | Fatah Paramole Dpm LLC | Podiatrist | 561 N Alta Ave Ste A, Dinuba, CA 93618-3200 | 2018-11-28 |
| 1053893347 | Sacramento Foot and Ankle Center, Inc. | Podiatrist | 5030 J St Ste 300, Sacramento, CA 95819 | 2018-09-04 |
| 1669988655 | Happy Feet Podiatry P.C. | Podiatrist | 601 E Yorba Linda Blvd Ste 6, Placentia, CA 92870-3006 | 2017-12-28 |
| 1023549987 | Carl Christenson, Dpm | Podiatrist | 7687 N 9th St, Fresno, CA 93720-2629 | 2017-03-22 |
| 1598203788 | Bermar Group Inc | Podiatrist | 7952 Genesta Ave, Lake Balboa, CA 91406-1624 | 2017-02-07 |
| 1063871234 | Gregory W Herb | Podiatrist | 195 Blossom Hill Rd Lot 148, San Jose, CA 95123-2349 | 2016-02-17 |
| 1053791509 | Grandy Podiatry Group | Podiatrist | 730 46th St, Sacramento, CA 95819-3149 | 2015-05-30 |
| 1801201389 | Alycia Chen | Podiatrist | 305 South Dr Ste 6, Mountain View, CA 94040-4207 | 2014-06-24 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90023 |
Please comment or provide details below to improve the information on EAST LA PAZ MEDICAL CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.