National Provider Identifier Database

CLINICA MEDICA INTERNACIONAL INC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

CLINICA MEDICA INTERNACIONAL, INC
7444 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA91605-2801
Phone: 818-765-4917
Fax: 818-765-0804
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for CLINICA MEDICA INTERNACIONAL, INC

NPI Number 1427123504
Legal business name
LBN
CLINICA MEDICA INTERNACIONAL, INC
Authorized official MANUEL UMANZOR - (PA)
Entity Organization
Organization subpart No
Enumeration date 11/22/2006
Last updated 01/06/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 00A357301
  • CA Medicaid: 00A357301

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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