CLINICA SANTA CLARA - NPI 1295168250 - Non-Pharmacy Dispensing Site in Cudahy, CA

Q: What is Clinica Santa Clara A Medical Corporation's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

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About Clinica Santa Clara NPPES

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

CLINICA SANTA CLARA (NPI 1295168250) is a healthcare organization registered as a non-pharmacy dispensing site in Cudahy, California and active in the NPI registry since August 2013. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1295168250

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameCLINICA SANTA CLARA A MEDICAL CORPORATION

Location Address7643 ATLANTIC AVECudahy, CA 90201-5019

Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705

Phone(323) 771-1713

Organization SubpartYesParent: Medvantx, Inc

Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506

Enumeration DateAugust 14, 2013

✔ NPI 1295168250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in CA · A31709

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

7643 ATLANTIC AVE, Cudahy, CA 90201

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Other Names 1

Doing Business AsClinica Santa Clara

Other Providers at the Same Location NPPES 9

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

DR. LOURDES G BAHAMONDE DO

Internal Medicine (Gastroenterology)