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San Pedro Medical Clinic

Multi-Specialty Clinic/Center in San Pedro, CA · enumerated 2010 · authorized official Kristina Kutsina, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1952624140

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Registry record

Entity type Organization (Type 2)
Legal business name San Pedro Medical Clinic
Practice address 715 S Averill Ave, San Pedro, CA, 90732
Fax (310) 831-9081
Enumeration date Mar 2, 2010
Last updated in NPPES Mar 2, 2010

Taxonomy & classification

261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Kristina Kutsina
Title Manager

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is San Pedro Medical Clinic located?
The practice location on file with NPPES is in San Pedro, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-03-02. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-03-02.