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ALISO MEDICAL CLINIC, INC
NPI 1154457745
General Practice in Los Angeles, CA

Active since February 26, 2007
1625 E 4TH ST, LOS ANGELES, CA 90033(323) 268-8391(323) 268-8014 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aliso Medical Clinic, Inc NPPES

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

ALISO MEDICAL CLINIC, INC (NPI 1154457745) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since February 2007. The organization lists Christine Barnes-keith, Administrator, as its authorized official.

NPPES Registry Identity

NPI1154457745
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameALISO MEDICAL CLINIC, INC
Location Address1625 E 4TH STLos Angeles, CA 90033-4201
Mailing Address1625 E 4th StLos Angeles, CA 90033-4201 · (323) 268-8391 · Fax (323) 268-8014
Phone(323) 268-8391
Fax(323) 268-8014
Organization SubpartNo
Authorized OfficialChristine Barnes-keithAdministrator · (323) 268-8391
Enumeration DateFebruary 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154457745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A28934
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1625 E 4TH ST, Los Angeles, CA 90033
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Other Identifiers 4

Medicaid00A289340CA
MedicaidGR0067720CA
OtherZZZ74805ZCA · Blue Shield Grp Pin
Other11513273CA · Caqh Id

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

HUONGLAN TRAN DDS
Dentist (General Practice)
1625 E 4TH ST
LOS ANGELES, CA 90033
Los Angeles County (323) 268-8391
DR. KRISTINA SCHMIDT PHARMD, MS
Pharmacist
1625 E 4TH ST
LOS ANGELES, CA 90033
Los Angeles County (323) 859-2823
DR. SO LA LEE MD
Family Medicine
1625 E 4TH ST
LOS ANGELES, CA 90033
Los Angeles County (213) 893-1960
DR. DINA KIKUE BRENT MD
Pediatrics
1625 E 4TH ST
LOS ANGELES, CA 90033
Los Angeles County (213) 893-1960
ALEXANDER JAMES LONG MD
Family Medicine
1625 E 4TH ST
LOS ANGELES, CA 90033
Los Angeles County (323) 268-8391
GENNEVE FRERKING RDH
Dental Hygienist
1625 E 4TH ST
LOS ANGELES, CA 90033
Los Angeles County (213) 254-7244
DR. ALEXIS LAU HWANG DDS
Dentist
1625 E 4TH ST
LOS ANGELES, CA 90033
Los Angeles County (323) 268-8391
DR. RUTH ALONSO PSYD
Psychologist
1625 E 4TH ST
LOS ANGELES, CA 90033
Los Angeles County (213) 893-1960

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 Aliso Medical Clinic, Inc's NPI number?

The NPI number for Aliso Medical Clinic, Inc is 1154457745. It was assigned to this organization in the NPPES registry on February 26, 2007.

Where is Aliso Medical Clinic, Inc located?

Aliso Medical Clinic, Inc is located at 1625 E 4th St, Los Angeles, CA 90033. The listed phone number is (323) 268-8391.

What is Aliso Medical Clinic, Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Aliso Medical Clinic, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.