CLINICA MSR. OSCAR ROMERO
Managed Care Organizations at Marengo St, Los Angeles, CA

License number
California A067450
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: PAUL HENRY GIBONEY M.D.
Title: PHYSICIAN
Phone: (323) 987-1401
Address
Address
2032 Marengo St, Los Angeles, CA 90033
National Provider ID: 1912156217
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Clinica Msr. Oscar A Romero

Los Angeles, CA

Industry:
Community Clinic, Clinic, Medical Doctor's Office, ...
Doing business as:
Clinica Msr Oscar A Romero
Registration:
Jun 23, 1983
Phone:
(323) 780-6336 (Phone)
Description:
Offices of Physicians (except Mental Health Specialists)
Addresses:
2032 Marengo St, Los Angeles, CA 90033
123 S Alvarado St, Los Angeles, CA 90057
State ID:
C1204222
Business type:
Articles of Incorporation
Presidents:
Sandra Rossato (President),Carlos Vaquerano (President Human Resources Executive),Albert Pacheco President, inactive
SIC:
8011 - Offices and Clinics of Doctors of Medicine
SIC6:
801100 - Medical doctor's office
Company size:
99

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