| Actinium Medical Corporation | |
|
101 E Beverly Blvd Ste 100a Montebello CA 90640-4314 | |
| (323) 528-1565 | |
| Not Available |
| Full Name | Actinium Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 E Beverly Blvd Ste 100a, Montebello, California |
| Authorized Official Name and Position | Jackson Cheuk Ki Ma (PRESIDENT) |
| Authorized Official Contact | 3235281565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Actinium Medical Corporation 2356 Ridgeview Ave Rowland Heights CA 91748-4862 Ph: (323) 528-1565 | Actinium Medical Corporation 101 E Beverly Blvd Ste 100a Montebello CA 90640-4314 Ph: (323) 528-1565 |
| NPI Number | 1659088714 |
|---|---|
| Provider Enumeration Date | 10/28/2022 |
| Last Update Date | 10/28/2022 |
| Medicare PECOS PAC ID | 3375915614 |
|---|---|
| Medicare Enrollment ID | O20230214001738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659088714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jackson C Ma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447298732 PECOS PAC ID: 7214900844 Enrollment ID: I20040812001528 |
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