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SANTA ROSA DE LIMA MEDICAL CLINIC INC.
NPI 1821139205
General Practice in Huntington Park, CA

Active since February 09, 2007CLIA 05D0930388 · Waiver
6915 SEVILLE AVE, HUNTINGTON PARK, CA 90255(323) 588-9800 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Santa Rosa De Lima Medical Clinic Inc. NPPES

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

SANTA ROSA DE LIMA MEDICAL CLINIC INC. (NPI 1821139205) is a healthcare organization registered as a general practice in Huntington Park, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through July 14, 2027 and lists Edwin Zevallos, Physycian, as its authorized official.

NPPES Registry Identity

NPI1821139205
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSANTA ROSA DE LIMA MEDICAL CLINIC INC.
Location Address6915 SEVILLE AVEHuntington Park, CA 90255-4901
Mailing Address6915 Seville AvenueHuntington Park, CA 90255 · (323) 588-9800
Phone(323) 588-9800
Organization SubpartNo
Authorized OfficialEdwin ZevallosPhysycian · (323) 588-9800
Enumeration DateFebruary 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1821139205 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 · A53394
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
6915 SEVILLE AVE, Huntington Park, CA 90255
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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

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 05D0930388

Santa Rosa De Lima Medical Clinic Inc · Huntington Park, CA
Active · expires Jul 14, 2027
CLIA Number05D0930388
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorEdwin Zevallos
Laboratory Phone(213) 588-9800
Laboratory LocationSanta Rosa De Lima Medical Clinic Inc6915 Seville Ave, Huntington Park, CA 90255
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

EDWIN WERNER ZEVALLOS M.D.
Internal Medicine
6915 SEVILLE AVE
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 588-9800

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 Santa Rosa De Lima Medical Clinic Inc.'s NPI number?

The NPI number for Santa Rosa De Lima Medical Clinic Inc. is 1821139205. It was assigned to this organization in the NPPES registry on February 9, 2007.

Where is Santa Rosa De Lima Medical Clinic Inc. located?

Santa Rosa De Lima Medical Clinic Inc. is located at 6915 Seville Ave, Huntington Park, CA 90255. The listed phone number is (323) 588-9800.

What is Santa Rosa De Lima Medical Clinic Inc.'s specialty?

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

Does Santa Rosa De Lima Medical Clinic Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0930388) is associated with this NPI, valid through July 14, 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 Santa Rosa De Lima 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.