NPI Provider: 1104813146
Contact Name: Situ L Paula
Position: Family Nurse Practitioner
Phone: (213) 380-7298
Queens Care Family Clinic Information:
Queens Care Family Clinic organization have npi 1104813146, taxonomy code is 261QC1500X with license number is 510678 in . This Business address located in 150 N Reno St, Los Angeles, CA 90026 California.
Practice Location
Address: 150 N Reno St, Los Angeles, CA 90026
Phone: (213) 380-7298
Business Location
Address: 150 N Reno St, Los Angeles, CA 90026
Phone: (213) 380-7298
Fax: (213) 384-0951
Taxonomy
Taxonomy Code: 261QC1500X
License Number: 510678
License Number of State: CA
Primary Taxonomy Switch: Y
Enumeration Date: 10/4/2005
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