CLINICA ANGEL DE SU SALUD – NPI #1588098842
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

CLINICA ANGEL DE SU SALUD is a provider located in BELL, CA. NPPES has assigned the NPI number 1588098842 to CLINICA ANGEL DE SU SALUD on August 22, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CLINICA ANGEL DE SU SALUD” is a dba name, the actual legal business name for this organization is EAST WEST BARUCH MEDICAL GROUP INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 5 years ago on May 11, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLINICA ANGEL DE SU SALUD below.

NPI Profile for
EAST WEST BARUCH MEDICAL GROUP INC

NPI Number
1588098842
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EAST WEST BARUCH MEDICAL GROUP INC
Doing Business As (dba): CLINICA ANGEL DE SU SALUD
Primary location
4811 E FLORENCE AVE
BELL, CA 90201
Phone: (213) 472-6651 Fax:
Mailing address
2661 E FLORENCE AVE SUITE B
HUNTINGTON PARK, CA 90255
Phone: (213) 472-6651 Fax:
Organization Subpart
No
Authorized Official
ADEL BOUTROS
PRESIDENT
Phone: (323) 370-7430
Updated
Certification Date
May 11, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.