Anza Community Medical Center | |
56480 Highway 371 Anza CA 92539 | |
(951) 694-8549 | |
(951) 694-0249 |
Full Name | Anza Community Medical Center |
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Speciality | Clinic/center - Primary Care |
Location | 56480 Highway 371, Anza, California |
Authorized Official Name and Position | Jonathan Yujung Yun (PRESIDENT) |
Authorized Official Contact | 9515666778 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Anza Community Medical Center Po Box 391487 Anza CA 92539-1487 Ph: (951) 694-8549 | Anza Community Medical Center 56480 Highway 371 Anza CA 92539 Ph: (951) 694-8549 |
NPI Number | 1619000775 |
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Provider Enumeration Date | 03/14/2007 |
Last Update Date | 07/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619000775 | NPI | - | NPPES |
00AX87590 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 20A8759 (California) | Primary |