JREH MEDICAL CLINIC INC. DBA (NPI# 1356748123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356748123 |
| Entity Type | Organization |
| Organization Name | JREH MEDICAL CLINIC INC. DBA |
| Other Organization Name | CLINICA VIRGEN GUADALUPE |
| Practice Address |
615 S Atlantic Blvd Los Angeles CA 90022-3211 |
| Practice Telephone | 3233993000 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |
| Authorized Official Name | DR. ALVA MARSH (PHYSICIAN) |
| Authorized Official Telephone | 3233993000 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
C22547 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Clinica Virgen Guadalupe | Doing Business As Name - Organization |
| Street Address |
615 S ATLANTIC BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90022-3211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053654640 | Katherine Joan Chin | Physician Assistant | 615 S Atlantic Blvd, Los Angeles, CA 90022-3211 | 2013-04-02 |
| 1194293282 | Via Care Community Health Center | Pharmacy | 615 S Atlantic Blvd, Los Angeles, CA 90022-3211 | 2018-11-06 |
| 1689126708 | Mahsa Dadkhah | Pharmacist | 615 S Atlantic Blvd, Los Angeles, CA 90022-3211 | 2016-10-25 |
| 1609269885 | A. Marsh Medical Clinic | Internal Medicine | 615 S Atlantic Blvd, Los Angeles, CA 90022-3211 | 2015-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700405701 | Altamed Health Services Corp | Pharmacy | 972 Goodrich Blvd Rm 100, Los Angeles, CA 90022 | 2020-04-10 |
| 1033699426 | Reachwell Home Health Inc | Home Health | 236 1/4 S Atlantic Blvd, Los Angeles, CA 90022 | 2018-08-15 |
| 1326528704 | Shelli Hernandez | Community Health Worker | Enki Health & Research Systems Inc., 1000 Goodrich Blvd., Commerce, CA 90022 | 2018-08-15 |
| 1477071660 | East Los Angeles Womens Center | Counselor | 1431 S. Atlantic Blvd, Los Angeles, CA 90022 | 2017-09-07 |
| 1467974824 | Ena Vilma Hernandez | Registered Nurse | 245 S Fetterly St, Los Angeles, CA 90022 | 2017-07-07 |
| 1437688843 | Maud D Legaspi | Social Worker | 5425 E. Pomona Blvd, Los Angeles, CA 90022 | 2017-06-08 |
| 1548793920 | Harbor Chiropractic, Inc., A Bahan Company | Chiropractor | 5301 Whittier Blvd, Atrium Lower Level, Los Angeles, CA 90022 | 2017-04-04 |
| 1326590423 | Via Care Community Health Center | Clinic/Center | 501 S. Woods Ave, Los Angeles, CA 90022 | 2016-10-25 |
| 1780057950 | Monica Poomiwatracanont | Pharmacist | 5176 E. Whittier Blvd., Los Angeles, CA 90022 | 2015-11-10 |
| 1609277433 | Ethan C. A Lee Dental Inc. | Dentist | 6046 Whittier Blvd., Los Angeles, CA 90022 | 2014-09-11 |
| Find all providers in zip 90022 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499746 | Crosspeaks Services, Inc. | Skilled Nursing Facility | 4165 Brittany Dr, Redding, CA 96002-5102 | 2020-08-28 |
| 1023551264 | Eden Care Center | Skilled Nursing Facility | 7616 Pacific Blvd, Huntington Park, CA 90255-6026 | 2016-11-21 |
| 1740736198 | Corwin Kids Healthcare Inc | Skilled Nursing Facility | 18747 Corwin Rd, Apple Valley, CA 92307-2303 | 2016-08-26 |
| 1073914412 | Crosspeaks Services, Inc. | Skilled Nursing Facility | 1350 Teal Hollow Dr, Yuba City, CA 95993-8885 | 2014-09-04 |
| 1669886230 | Centennial Healthcare LLC | Skilled Nursing Facility | 7504 Capps Ave, Reseda, CA 91335-2710 | 2014-06-11 |
| 1851660682 | George Nobuhiko Tobo | Skilled Nursing Facility | 16423 Harbor Blvd, Fountain Valley, CA 92708-1367 | 2011-12-22 |
| 1427348424 | Bridge 2 Life Healthcare, Inc. | Skilled Nursing Facility | 1331 Addison Way, Perris, CA 92571-3878 | 2011-04-11 |
| 1033417167 | Wee Hearts | Skilled Nursing Facility | 10049 Magnolia Blvd, 539, N Hollywood, CA 91606 | 2011-03-15 |
| 1720300783 | Kidz Kingdom Pdhc | Skilled Nursing Facility | 13022 Sherman Way, North Hollywood, CA 91605-4955 | 2010-02-18 |
| 1285884411 | Twins Services and Training Center | Skilled Nursing Facility | 22910 Teil Glen Rd, Wildomar, CA 92595-8099 | 2008-09-24 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90022 |
Please comment or provide details below to improve the information on JREH MEDICAL CLINIC INC. DBA.
| 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.