| Agape Family Medical Center | |
|
5309 Lincoln Ave Cypress CA 90630-2235 | |
| (714) 484-8111 | |
| Not Available |
| Full Name | Agape Family Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 5309 Lincoln Ave, Cypress, California |
| Authorized Official Name and Position | Chifoo David Yue (PHYSICIAN OWNER) |
| Authorized Official Contact | 7144848111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Family Medical Center 5309 Lincoln Ave Cypress CA 90630-2235 Ph: (714) 484-8111 | Agape Family Medical Center 5309 Lincoln Ave Cypress CA 90630-2235 Ph: (714) 484-8111 |
| NPI Number | 1477713444 |
|---|---|
| Provider Enumeration Date | 06/13/2008 |
| Last Update Date | 09/27/2023 |
| Medicare PECOS PAC ID | 6002720463 |
|---|---|
| Medicare Enrollment ID | O20031118001194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477713444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G68013 (California) | Primary |
| 208000000X | Pediatrics | G68013 (California) | Secondary |
| Provider Name | Chifoo David Yue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952374100 PECOS PAC ID: 9739093196 Enrollment ID: I20031203000680 |
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