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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAN MANUEL MEDICAL CLINIC, INC

Active Organization

SAN MANUEL MEDICAL CLINIC, INC is a Family Medicine organization located in HUNTINGTON PARK, California. NPI 1902192362 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · HUNTINGTON PARK, CA

Registration Details

NPI Number
1902192362
Provider Type
Organization
NPI Issued
Jun 23, 2011 (15.164653019471 yrs)
Last Updated
Aug 11, 2011
Licenses
A30390 (CA)
A41503 (CA)
PA15560 (CA)
A44599 (CA)

Practice Information

Address
7400 PACIFIC BLVD
A
HUNTINGTON PARK, CA, 902555739
Browse CA providers · Browse ZIP 90255
Phone
3235848881
Fax
3235848882
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Pediatrics
Additional Specialty
Physician Assistant
Additional Specialty
Family Medicine

Other Family Medicine Organizations in HUNTINGTON PARK, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.