| Organization Name: | CLINICA SANTA CLARA |
| NPI Number: | 1417076845 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ARAM KEUSAYAN (OWNER) |
| Mailing Address: | 7643 Atlantic Ave Cudahy |
| State: | CA US |
| Postal Code: | 902015019 |
| Phone Number: | 3237711713 |
| Fax Number: | 3235621302 |
| NPI Enumeration Date: | 03/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA14033 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |