| Organization Name: | GUADALAJARA MEDICAL CLINIC |
| NPI Number: | 1245450212 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VICTOR MANUEL PEDROZA (MD) |
| Mailing Address: | 2705 Whittier Blvd Los Angeles |
| State: | CA US |
| Postal Code: | 900231441 |
| Phone Number: | 3232633861 |
| Fax Number: | 3232627132 |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 01/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |