La Clinica

LBN: La Clinica
La Clinica is an health care organization with primary practice located at 1400 W Mcfadden Ave Ste 4 , Santa Ana CA 92704-3438. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. La Clinica can be contacted via phone (714) 546-8200, or through Duel, Ebrahim via phone (714) 547-6641.

Contact Information

Primary practice address
1400 W Mcfadden Ave Ste 4 Santa Ana CA 92704-3438
Phone: (714) 546-8200
Fax: (714) 546-8755
Website:
Map and Directions
Authorized official contact:
Name: Duel, Ebrahim Doctor of Medicine (MD)
Phone: (714) 547-6641

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A33882 California
Other Service Providers / Specialist 174400000X C50959 California

Profile Details

NPI number 1811166846
LBN Legal business name La Clinica
DBA Doing business as
Authorized official Duel, Ebrahim Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2008
Last updated Mar 7th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811166846 NPPES
California MEDICAID 00A338823

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