CLINICA MEDICA MI PUEBLO, MEDICAL CLINIC, INC


Address: 131 W Anaheim St, Wilmington, CA 90744-4416
Phone: 3105185441

CLINICA MEDICA MI PUEBLO, MEDICAL CLINIC, INC (NPI# 1306109251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306109251
Entity Type Organization
Organization Name CLINICA MEDICA MI PUEBLO, MEDICAL CLINIC, INC
Practice Address 131 W Anaheim St
Wilmington
CA 90744-4416
Mailing Address 6055 E Washington Blvd
Suite 240
Commerce
CA 90040-2449
Practice Telephone 3105185441
Practice Fax Number 3105185758
Mailing Telephone 3237260333
Mailing Fax Number 3237260313
Enumeration Date 2012-06-15
Last Update Date 2012-06-25
Authorized Official Name THOMAS J MAGEE (OWNER)
Authorized Official Telephone 3237260333
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1417208273 Clinica Medica Mi Pueblo, Medical Clinic, Inc Clinic/Center 2649 E Gage Ave, Huntington Park, CA 90255-4140 2012-09-19
1568713303 Clinica Medica Mi Pueblo, Medical Clinic, Inc Clinic/Center 11609 Sherman Way, North Hollywood, CA 91605-5832 2012-09-19
1811248669 Clinica Medica Mi Pueblo, Medical Clinic, Inc Clinic/Center 720 S Harbor Blvd, Santa Ana, CA 92704-2337 2012-09-19
1679824437 Clinica Medica Mi Pueblo, Medical Clinic, Inc Clinic/Center 5835 N Figueroa St, Los Angeles, CA 90042-4227 2012-09-19
1366793127 Clinica Medica Mi Pueblo, Medical Clinic, Inc Clinic/Center 2520 E Palmdale Blvd, Palmdale, CA 93550-4914 2012-09-19
1477804235 Clinica Medica Mi Pueblo, Medical Clinic, Inc Clinic/Center 14829 Seventh St Ste D, Victorville, CA 92395-4009 2012-09-19
1144571985 Clinica Medica Mi Pueblo, Medical Clinic, Inc Clinic/Center 602 W 6th St, Corona, CA 92882-3209 2012-09-19

Office Location

Street Address 131 W ANAHEIM ST
City WILMINGTON
State CA
Zip Code 90744-4416

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649829441 Kathleen Calderon Technician 1022 W. Robidoux St., Wilmington, CA 90744 2019-09-05
1083275838 Jorge A Navarrete Licensed Vocational Nurse 117 E W Harry Bridges Blvd, Wilmington, CA 90744 2019-06-24
1457875528 Sergio Manzo Interpreter 1131 Cary Ave, Wilmington, CA 90744 2017-08-01
1922461482 Elma Estrada Physician Assistant 200 E. Anaheim Street, Wilmington, CA 90744 2016-04-01
1982074662 Tomoko Araki Acupuncturist 640 Broad Avenue, Wilmington, CA 90744 2015-10-07
1003202516 West Pacific Pharmacy Inc Pharmacy 505 West Pacific Coast Hwy, Wilmington, CA 90744 2015-04-10
1053733543 Sally Ammar Physician Assistant 714 Avalon Blvd, Wilmington, CA 90744 2014-01-17
1548432487 Julia Chase Vander Ploeg Chiropractor 123 E. F Street, Wilmingtnon, CA 90744 2008-04-01
1679775829 Elvis Baquero Dentist 1455 N Avalon Blvd, Wilmington, CA 90744 2007-06-01
1740495233 Dr Leonardo Chacon, M.d. Inc Point of Service 1721 Wilmington Blvd, Wilmington, CA 90744 2007-05-10
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669907929 Hanover Pediatrics Clinic/Center 5032 Crown Point Ln, Wilmington, NC 28409-3298 2017-04-25
1588013213 Wilmington Internal Medicine, LLC Clinic/Center 1016 Delaware Avenue, Wilmington, DE 19806 2016-06-03
1710334503 Odibo Medical Group Pllc Clinic/Center 508 John S Mosby Dr, Wilmington, NC 28412-7121 2016-05-21
1366852519 Bw Family Medical Center Clinic/Center 404 Clayton Ave, Wilmington, DE 19809-1413 2014-04-28
1568808376 Healthworks Med Group of Delaware P A Clinic/Center 802 Delaware Ave, Wilmington, DE 19801-1377 2013-05-20
1750541322 Sea Breeze Health Center Inc Clinic/Center 123 E F St Unit F, Wilmington, CA 90744-5817 2008-06-16
1457437832 Singson Medical Group Pa Clinic/Center 1021 Gilpin Avenue, Suite 104, Wilmington, DE 19806 2006-10-28
1932194586 Wilmington Community Clinic Clinic/Center 1009 N Avalon Blvd, Wilmington, CA 90744-4505 2005-09-20
1285191494 Precision Care & Wellness, LLC Clinic/Center 4001 Miller Rd Ste 1, Wilmington, DE 19802-1961 2019-02-24
1861925042 Southbridge Medical Advisory Council, Inc. Clinic/Center 1100 S Broom St, Wilmington, DE 19805-4585 2017-04-05
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Competitor

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City WILMINGTON
Zip Code 90744

Improve Information

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Dataset Information

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.

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