La Familia | |
875 Geer Rd Turlock CA 95380-3311 | |
(209) 633-0357 | |
(209) 633-3031 |
Full Name | La Familia |
---|---|
Speciality | Community/Behavioral Health |
Location | 875 Geer Rd, Turlock, California |
Authorized Official Name and Position | David Xiong (CREDENTIALING MANAGER) |
Authorized Official Contact | 9165333428 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
La Familia 875 Geer Rd Turlock CA 95380-3311 Ph: (209) 633-3057 | La Familia 875 Geer Rd Turlock CA 95380-3311 Ph: (209) 633-0357 |
NPI Number | 1972159986 |
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Provider Enumeration Date | 08/15/2019 |
Last Update Date | 07/12/2023 |
Certification Date | 07/12/2023 |
Medicare PECOS PAC ID | 8527472919 |
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Medicare Enrollment ID | O20210126001903 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972159986 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Juan Manuel Perez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730658683 PECOS PAC ID: 3072927466 Enrollment ID: I20210202000497 |
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