| Alas Medical Clinic, Inc. | |
|
545 N San Gabriel Ave Azusa CA 91702-2939 | |
| (626) 815-1511 | |
| (626) 815-1504 |
| Full Name | Alas Medical Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 545 N San Gabriel Ave, Azusa, California |
| Authorized Official Name and Position | Juan Lempira Alas (PRESIDENT) |
| Authorized Official Contact | 6268151511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alas Medical Clinic, Inc. 545 N San Gabriel Ave Azusa CA 91702-2939 Ph: (626) 815-1511 | Alas Medical Clinic, Inc. 545 N San Gabriel Ave Azusa CA 91702-2939 Ph: (626) 815-1511 |
| NPI Number | 1063623387 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 12/29/2010 |
| Medicare PECOS PAC ID | 8022046754 |
|---|---|
| Medicare Enrollment ID | O20050802001430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063623387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A55051 (California) | Primary |
| Provider Name | Juan L Alas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881695401 PECOS PAC ID: 5799944807 Enrollment ID: I20120309000102 |
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