Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clinica Medica San Pedro of California, Inc

Organization Obstetrics & Gynecology Physician · NPI 1417271305

Clinica Medica San Pedro of California, Inc is an Obstetrics & Gynecology Physician in Norwalk, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13939 San Antonio Dr
Norwalk, CA 90650-4036
Phone: (562) 863-1212
Fax: (562) 864-1212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A76805 (CA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence A39722 (CA)

Record details

NPI number1417271305
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Diaz — President · (562) 863-1212
NPI enumeratedMarch 21, 2010
Last updated in NPPESMarch 21, 2010
Mailing address13939 San Antonio Dr, Norwalk, CA 90650-4036

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