| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | Saint Joseph Family Medical Clinic, Inc. | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1023243193 | [sources] | |||
| Registration number | FNP 39694 | [sources] | |||
| Sector | Other | [sources] | |||
| Address | 2643 Santa Ana Street, South Gate, CA, 90280 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States of America · DHCS
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