Clinica Medica Jose Carlos
LBN: East Los Angeles Health Task
Clinica Medica Jose Carlos is an health care organization with primary practice located at 2120 E 6Th St , Los Angeles CA 90023-1202. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Family Planning, Non-Surgical, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Community Health is the primary health care specialty.
East Los Angeles Health Task can be contacted via phone (323) 881-1112, or through Arellano, Susanna Delgado via phone (323) 261-2171.
Contact Information
Primary practice address
2120 E 6Th St
Los Angeles CA 90023-1202
Phone: (323) 881-1112
Fax: (323) 261-0246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | California | |
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | California | |
| Ambulatory Health Care Facilities / Family Planning, Non-Surgical | 261QF0050X | California | |
| Ambulatory Health Care Facilities / Family Planning, Non-Surgical | 261QF0050X | California | |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | California | |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | California |
Profile Details
| NPI number | 1770793754 |
|---|---|
| LBN Legal business name | East Los Angeles Health Task |
| DBA Doing business as | Clinica Medica Jose Carlos |
| Authorized official | Arellano, Susanna Delgado |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770793754 | NPPES |
| California | Other | EAP00002F | EAPC STATE GRANT |
| California | MEDICAID | CMM70727F | EAPC STATE GRANT |
| California | Other | 10307 | EAPC STATE GRANT |
| California | Other | C42346 | EAPC STATE GRANT |
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