| A.m. Palanca-capistrano,m.d. Inc. | |
|
720 Magnolia Avenue Suite A-4 Corona CA 92879 | |
| (951) 372-9227 | |
| (951) 372-9005 |
| Full Name | A.m. Palanca-capistrano,m.d. Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 720 Magnolia Avenue, Corona, California |
| Authorized Official Name and Position | Angelita M. Palanca-capistrano (PRESIDENT) |
| Authorized Official Contact | 9513729227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A.m. Palanca-capistrano,m.d. Inc. 19069 Van Buren Blvd Ste. 114-219 Riverside CA 92508-9169 Ph: (951) 372-9227 | A.m. Palanca-capistrano,m.d. Inc. 720 Magnolia Avenue Suite A-4 Corona CA 92879 Ph: (951) 372-9227 |
| NPI Number | 1194947200 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 02/15/2011 |
| Medicare PECOS PAC ID | 7113025222 |
|---|---|
| Medicare Enrollment ID | O20070612000836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194947200 | NPI | - | NPPES |
| 1585438 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A91568 (California) | Primary |
| Provider Name | Angelita Marquinez Palanca Capistrano |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578526521 PECOS PAC ID: 7719085927 Enrollment ID: I20070612000764 |
| Provider Name | Thi D Buu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740495183 PECOS PAC ID: 8628123668 Enrollment ID: I20090827000691 |
| Provider Name | Felix K Wong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467073999 PECOS PAC ID: 6204295850 Enrollment ID: I20230629003646 |
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