HUNTINGTON PARK CLINICA MEDICA GENERAL, MEDICAL CENTER, INC (NPI# 1942256094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942256094 |
| Entity Type | Organization |
| Organization Name | HUNTINGTON PARK CLINICA MEDICA GENERAL, MEDICAL CENTER, INC |
| Practice Address |
6347 Pacific Blvd Huntington Park CA 90255-4101 |
| Mailing Address |
Po Box 1682 Beverly Hills CA 90213-1682 |
| Practice Telephone | 3235838383 |
| Practice Fax Number | 3235838399 |
| Mailing Telephone | 2136372530 |
| Mailing Fax Number | 2133843373 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-07-31 |
| Authorized Official Name | MR. JOSE LUIS CARRILLO JR. (BUSINESS ACCOUNTS MANAGER) |
| Authorized Official Telephone | 2137393282 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0076010 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194082 | Huntington Park Clinica Medica General, Medical Center, Inc | Family Medicine | 11026 Valley Mall, El Monte, CA 91731-2617 | 2019-10-04 |
| 1386285997 | Huntington Park Clinica Medica General, Medical Center, Inc | Family Medicine | 2208 W 7th St, Los Angeles, CA 90057-4002 | 2019-10-04 |
| 1043864861 | Huntington Park Clinica Medica General, Medical Center, Inc | Family Medicine | 11026 Valley Mall, El Monte, CA 91731-2617 | 2019-07-30 |
| 1821642638 | Huntington Park Clinica Medica General, Medical Center, Inc | Family Medicine | 2208 W 7th St, Los Angeles, CA 90057-4002 | 2019-07-30 |
| 1053964155 | Huntington Park Clinica Medica General, Medical Center, Inc | Family Medicine | 6511 Van Nuys Blvd, Van Nuys, CA 91401-1425 | 2019-07-18 |
| Street Address |
6347 PACIFIC BLVD |
| City | HUNTINGTON PARK |
| State | CA |
| Zip Code | 90255-4101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871146878 | Valley Clinica Medica General Medical Center Inc | Family Medicine | 6347 Pacific Blvd, Huntington Park, CA 90255-4101 | 2019-07-18 |
| 1003469214 | Los Angeles Clinica Medica General Medical Center, Inc. | Family Medicine | 6347 Pacific Blvd, Huntington Park, CA 90255-4101 | 2019-07-17 |
| 1548813751 | El Monte Clinica Medica General Medical Center, Inc | Family Medicine | 6347 Pacific Blvd, Huntington Park, CA 90255-4101 | 2019-07-17 |
| 1023184132 | Mara Coloma | General Practice | 6347 Pacific Blvd, Huntington Park, CA 90255-4101 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922659424 | Maria Hurtado | Behavior Technician | California St & Pacific Blvd, Walnut Park, CA 90255 | 2019-09-25 |
| 1356803555 | Cdf Centro De Desarrollo Familiar | Social Worker | 2677 Zoe Ave Suite 120, Huntington Park, CA 90255 | 2019-04-05 |
| 1710457908 | Toure Marshawn Curry | Rehabilitation Practitioner | 2677 Zoe Ave #304, Huntington Park, CA 90255 | 2018-11-29 |
| 1508366584 | Kalie Marie Baker | Optometrist | 2614 Gage Ave, Huntington Park, CA 90255 | 2018-02-16 |
| 1134633027 | Alicia Rizkalla | Case Manager/Care Coordinator | Altamed Pace, 1900 Slauson Street, Huntington Park, CA 90255 | 2017-11-30 |
| 1205353760 | All Care One Community Health Center | Chiropractor | 7300 Santa Fe Avenue, Huntington Park, CA 90255 | 2017-08-25 |
| 1447613559 | Peter Vue | Respiratory Therapist, Certified | 6208 Seville Ave., Huntington Park, CA 90255 | 2016-04-05 |
| 1558720029 | Dr. Edmond Janfaza Dds, Inc. | Dentist | 2675 E. Slauson Ave, #300, Huntington Park, CA 90255 | 2016-02-12 |
| 1649650979 | Samuel Zaki Dds Inc | Dentist | 7221 Pacific Blvd, Huntington Park, CA 90255 | 2015-06-02 |
| 1376945808 | Karla Zuniga | Case Manager/Care Coordinator | 3638 E 61st Street, Huntington Park, CA 90255 | 2014-09-16 |
| Find all providers in zip 90255 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
| 1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
| 1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
| 1306464979 | Aleracare Medical Group of California | Clinic/Center | 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON PARK |
| Zip Code | 90255 |
Please comment or provide details below to improve the information on HUNTINGTON PARK CLINICA MEDICA GENERAL, MEDICAL CENTER, INC.
| 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.