Dr Hector Manrique Lastra, MD | |
2750 E Slauson Ave, Huntington Park, CA 90255 | |
(323) 581-3010 | |
(323) 581-2035 |
Full Name | Dr Hector Manrique Lastra |
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Gender | Male |
Speciality | Pediatrics |
Location | 2750 E Slauson Ave, Huntington Park, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982817128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A91293 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Dr Hector Manrique Lastra, MD 2750 E Slauson Ave, Huntington Park, CA 90255 Ph: (323) 581-3010 | Dr Hector Manrique Lastra, MD 2750 E Slauson Ave, Huntington Park, CA 90255 Ph: (323) 581-3010 |
Dr. Juventino Villanueva, Pediatrics Medicare: Medicare Enrolled Practice Location: 6601 Rugby Ave, 300, Huntington Park, CA 90255 Phone: 323-582-1177 Fax: 323-589-2635 | |
Cary Cheng, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2750 E Slauson Ave, Huntington Park, CA 90255 Phone: 323-582-1863 | |
Dr. Walfredo Iniguez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6601 Rugby Ave, 300, Huntington Park, CA 90255 Phone: 323-582-1177 Fax: 323-589-2635 | |
Dr. Shahira Shafik Abdel-malek, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 3100 E Florence Ave, #1, Huntington Park, CA 90255 Phone: 323-583-4115 Fax: 323-584-9089 | |
Violeta A. Galdamez, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2955 E Florence Ave, Huntington Park, CA 90255 Phone: 323-585-0732 Fax: 323-585-1673 | |
Camilo Ancheta Cu, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2675 E Slauson Avenue, All Care Medical Group Inc, Huntington Park, CA 90255 Phone: 323-589-6681 Fax: 323-584-2505 | |
Mr. David Gilbert Aguilar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7705 Seville Ave, Suite D, Huntington Park, CA 90255 Phone: 323-582-6534 Fax: 323-582-6950 |