Provider Demographics
NPI:1033676069
Name:DOWNTOWN LA MEDICAL CLINIC INC
Entity Type:Organization
Organization Name:DOWNTOWN LA MEDICAL CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SALIL
Authorized Official - Middle Name:U
Authorized Official - Last Name:NADKARNI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:213-261-3368
Mailing Address - Street 1:1125 W 6TH ST STE 307
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-1894
Mailing Address - Country:US
Mailing Address - Phone:213-261-3680
Mailing Address - Fax:
Practice Address - Street 1:1125 W 6TH ST STE 307
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-1894
Practice Address - Country:US
Practice Address - Phone:213-261-3680
Practice Address - Fax:213-785-1629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-26
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility