Ayala Medical Corporation Inc | |
1490 Del Mar Blvd Pasadena CA 91106-2704 | |
(626) 375-7435 | |
Not Available |
Full Name | Ayala Medical Corporation Inc |
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Speciality | Family Medicine |
Location | 1490 Del Mar Blvd, Pasadena, California |
Authorized Official Name and Position | Maria Virginia G Sioson Ayala (PRESIDENT) |
Authorized Official Contact | 6263757435 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ayala Medical Corporation Inc 1490 E Del Mar Blvd Pasadena CA 91106-2704 Ph: (626) 375-7435 | Ayala Medical Corporation Inc 1490 Del Mar Blvd Pasadena CA 91106-2704 Ph: (626) 375-7435 |
NPI Number | 1962769539 |
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Provider Enumeration Date | 04/19/2012 |
Last Update Date | 04/05/2013 |
Identifier | Type | State | Issuer |
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1962769539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A105436 (California) | Primary |
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