Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

San Manuel Medical Clinic Inc

Organization Specialist · NPI 1194071225

San Manuel Medical Clinic Inc provides Specialist services in Walnut Park, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
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

7400 Pacific Blvd Ste A
Walnut Park, CA 90255-5739 Not confirmed with CMS for 14 years — call before visiting
Phone: (323) 584-8881
Fax: (323) 584-8882
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A30390 (CA)

Record details

NPI number1194071225
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anjana Sura — Director · (323) 584-8881
NPI enumeratedJuly 26, 2012
Last updated in NPPESJuly 26, 2012
Mailing address7400 Pacific Blvd, Ste A, Walnut Park, CA 90255-5739

Other providers in Walnut Park