Arcadia Primary Care Physicians Medical Corporation | |
1505 S Baldwin Ave # B Arcadia CA 91007-7925 | |
(626) 445-1556 | |
(626) 574-9059 |
Full Name | Arcadia Primary Care Physicians Medical Corporation |
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Speciality | Family Medicine |
Location | 1505 S Baldwin Ave # B, Arcadia, California |
Authorized Official Name and Position | Glenn Michael Ho (CEO) |
Authorized Official Contact | 6264451556 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Arcadia Primary Care Physicians Medical Corporation 1505 S Baldwin Ave # B Arcadia CA 91007-7925 Ph: (626) 445-1556 | Arcadia Primary Care Physicians Medical Corporation 1505 S Baldwin Ave # B Arcadia CA 91007-7925 Ph: (626) 445-1556 |
NPI Number | 1508897752 |
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Provider Enumeration Date | 07/05/2006 |
Last Update Date | 11/28/2007 |
Medicare PECOS PAC ID | 3173567773 |
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Medicare Enrollment ID | O20050614001477 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508897752 | NPI | - | NPPES |
00A389220 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A38922 (California) | Primary |
Provider Name | Glenn Michael Ho |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1841472511 PECOS PAC ID: 1850491234 Enrollment ID: I20110203000211 |
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