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SAN MANUEL MEDICAL CLINIC INC.
NPI 1194071225
Specialist in Walnut Park, CA

Active since July 26, 2012
7400 PACIFIC BLVD, STE A, WALNUT PARK, CA 90255(323) 584-8881(323) 584-8882 Get Directions Write a Review

NPPES record last updated: July 26, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About San Manuel Medical Clinic Inc. NPPES

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

SAN MANUEL MEDICAL CLINIC INC. (NPI 1194071225) is a healthcare organization registered as a specialist in Walnut Park, California and active in the NPI registry since July 2012. The organization lists Anjana Sura, Director, as its authorized official.

NPPES Registry Identity

NPI1194071225
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSAN MANUEL MEDICAL CLINIC INC.
Location Address7400 PACIFIC BLVD, STE AWalnut Park, CA 90255-5739
Mailing Address7400 Pacific Blvd, Ste AWalnut Park, CA 90255-5739 · (323) 584-8881 · Fax (323) 584-8882
Phone(323) 584-8881
Fax(323) 584-8882
Organization SubpartNo
Authorized OfficialAnjana SuraDirector · (323) 584-8881
Enumeration DateJuly 26, 2012
✔ NPI 1194071225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A30390
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
7400 PACIFIC BLVD, Walnut Park, CA 90255
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

MARVIN CORION LUCAS
Behavior Analyst
7400 PACIFIC BLVD, STE A&B
WOODLAND HILLS, CA 90255
Los Angeles County (323) 538-9050
RAINIER SOE RANGEL
Behavior Analyst
7400 PACIFIC BLVD
WALNUT PARK, CA 90255
Los Angeles County (323) 538-9050
CARLOS A GUARDADO
Behavior Analyst
7400 PACIFIC BLVD
WALNUT PARK, CA 90255
Los Angeles County (323) 538-9050
SURA PEDIATRIC SPECIALIST, INC
General Practice
7400 PACIFIC BLVD, SUITE # B
WALNUT PARK, CA 90255
Los Angeles County (323) 584-8881
RUBY TORRES
Behavior Technician
7400 PACIFIC BLVD
WALNUT PARK, CA 90255
Los Angeles County (323) 538-9050
SUSANA FUENTES
Behavior Technician
7400 PACIFIC BLVD
WALNUT PARK, CA 90255
Los Angeles County (323) 538-9050
RHYANNON JOAN SUTHERLAND
Behavior Technician
7400 PACIFIC BLVD
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 538-9050
GABBY NYRENE RAMIREZ
Behavior Technician
7400 PACIFIC BLVD
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 538-9050

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 San Manuel Medical Clinic Inc.'s NPI number?

The NPI number for San Manuel Medical Clinic Inc. is 1194071225. It was assigned to this organization in the NPPES registry on July 26, 2012.

Where is San Manuel Medical Clinic Inc. located?

San Manuel Medical Clinic Inc. is located at 7400 Pacific Blvd Ste A, Walnut Park, CA 90255. The listed phone number is (323) 584-8881.

What is San Manuel Medical Clinic Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for San Manuel Medical Clinic Inc. was last updated on July 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.