| 1 Community Wellness & Health Inc | |
|
14461 Merced Ave Ste 203 Baldwin Park CA 91706-5174 | |
| (626) 960-5369 | |
| (626) 814-2156 |
| Full Name | 1 Community Wellness & Health Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 14461 Merced Ave Ste 203, Baldwin Park, California |
| Authorized Official Name and Position | Alexander V Abary (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6269605369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 1 Community Wellness & Health Inc 14461 Merced Ave Ste 203 Baldwin Park CA 91706-5174 Ph: (626) 960-5369 | 1 Community Wellness & Health Inc 14461 Merced Ave Ste 203 Baldwin Park CA 91706-5174 Ph: (626) 960-5369 |
| NPI Number | 1417184599 |
|---|---|
| Provider Enumeration Date | 06/16/2009 |
| Last Update Date | 09/22/2021 |
| Medicare PECOS PAC ID | 3274795547 |
|---|---|
| Medicare Enrollment ID | O20120502000499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417184599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A33873 (California) | Primary |
| Provider Name | Amable R Aguiluz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598812596 PECOS PAC ID: 9032000211 Enrollment ID: I20040324001589 |
| Provider Name | Alexander V Abary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104995919 PECOS PAC ID: 7517913148 Enrollment ID: I20090826000708 |
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