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SAN MANUEL MEDICAL CLINIC,INC
NPI 1831456482
Specialist in Walnut Park, CA

Active since April 20, 2012
7400 PACIFIC BLVD STE A, WALNUT PARK, CA 90255(323) 585-8881 Get Directions Write a Review

NPPES record last updated: April 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 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 1831456482) is a healthcare organization registered as a specialist in Walnut Park, California and active in the NPI registry since April 2012. The organization lists Elia Webb, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1831456482
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) 585-8881
Phone(323) 585-8881
Organization SubpartNo
Authorized OfficialElia WebbOffice Manager · (323) 585-8881
Enumeration DateApril 20, 2012
✔ NPI 1831456482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A84082
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.
Also ListedFamily MedicineTaxonomy 207Q00000X
7400 PACIFIC BLVD STE A, Walnut Park, CA 90255
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Other Identifiers 2

Medicare UPINA84082CA
MedicaidGR0100930CA

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

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

JOHANNA MILAGROS HERNANDEZ
Behavior Analyst
7400 PACIFIC BLVD STE A
WALNUT PARK, CA 90255
Los Angeles County (323) 583-9050

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 1831456482. It was assigned to this organization in the NPPES registry on April 20, 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) 585-8881.

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 April 20, 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.