LA PAZ MEDICAL CLINIC, INC
NPI 1124452875
Clinic/Center - Primary Care in Duarte, CA

Active since August 29, 2013CLIA 05D2057505 · Waiver
1345 HUNTINGTON DR, DUARTE, CA 91010(626) 359-8604 Get Directions Write a Review

NPPES record last updated: August 29, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About La Paz Medical Clinic, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA PAZ MEDICAL CLINIC, INC (NPI 1124452875) is a healthcare organization registered as a primary care in Duarte, California and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through April 16, 2027 and lists Richard Berton Mantell, Owner, as its authorized official.

NPPES Registry Identity

NPI1124452875
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLA PAZ MEDICAL CLINIC, INC
Location Address1345 HUNTINGTON DRDuarte, CA 91010-2527
Mailing Address1345 Huntington DrDuarte, CA 91010-2527 · (626) 359-8604
Organization SubpartNo
Authorized OfficialRichard Berton MantellOwner · (626) 359-8604
Enumeration DateAugust 29, 2013
NPI 1124452875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in CA · A39992
1345 HUNTINGTON DR, Duarte, CA 91010

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2057505

La Paz Medical Clinic Inc · Duarte, CA
Active · expires Apr 16, 2027
CLIA Number05D2057505
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorRubio R. Punzalan
Laboratory Phone(626) 359-8604
Laboratory LocationLa Paz Medical Clinic Inc1345 E Huntington Dr, Duarte, CA 91010
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Non-emergency Medical Transport (VAN)
1345 HUNTINGTON DR
DUARTE, CA 91010
Physician Assistant
1345 HUNTINGTON DR
DUARTE, CA 91010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Paz Medical Clinic, Inc's NPI number?

The NPI number for La Paz Medical Clinic, Inc is 1124452875. It was assigned to this organization in the NPPES registry on August 29, 2013.

Where is La Paz Medical Clinic, Inc located?

La Paz Medical Clinic, Inc is located at 1345 Huntington Dr, Duarte, CA 91010. The listed phone number is (626) 359-8604.

What is La Paz Medical Clinic, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does La Paz Medical Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2057505) is associated with this NPI, valid through April 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for La Paz Medical Clinic, Inc was last updated on August 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.