| 360 Family Clinic, Inc. | |
|
14361 Beach Blvd Ste 203 Westminster CA 92683-8140 | |
| (714) 884-0417 | |
| Not Available |
| Full Name | 360 Family Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 14361 Beach Blvd Ste 203, Westminster, California |
| Authorized Official Name and Position | Thuy Nguyen (PRESIDENT) |
| Authorized Official Contact | 7148840417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 360 Family Clinic, Inc. 14361 Beach Blvd Ste 203 Westminster CA 92683-8140 Ph: (714) 884-0417 | 360 Family Clinic, Inc. 14361 Beach Blvd Ste 203 Westminster CA 92683-8140 Ph: (714) 884-0417 |
| NPI Number | 1235749623 |
|---|---|
| Provider Enumeration Date | 07/31/2020 |
| Last Update Date | 07/31/2020 |
| Medicare PECOS PAC ID | 2567875362 |
|---|---|
| Medicare Enrollment ID | O20210118000474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235749623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Thuy Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891015871 PECOS PAC ID: 4082809835 Enrollment ID: I20101108000047 |
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