Santa Rosa de Lima Medical Clinic Inc.
NPI 1821139205ActiveOrganization· General Practice· Huntington Park, CA
General Practice in Huntington Park, California, registered in NPPES in February 2007. The authorized official on file is Edwin Zevallos, Physycian. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1821139205 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 9, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | A53394 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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