| Bansuan Medical Clinic | |
|
10305 Garvey Ave El Monte CA 91733-2135 | |
| (626) 455-0982 | |
| (626) 455-0984 |
| Full Name | Bansuan Medical Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 10305 Garvey Ave, El Monte, California |
| Authorized Official Name and Position | Rainer G Bansuan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6264550982 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bansuan Medical Clinic 10305 Garvey Ave El Monte CA 91733-2135 Ph: (626) 455-0982 | Bansuan Medical Clinic 10305 Garvey Ave El Monte CA 91733-2135 Ph: (626) 455-0982 |
| NPI Number | 1639457153 |
|---|---|
| Provider Enumeration Date | 08/02/2011 |
| Last Update Date | 08/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639457153 | NPI | - | NPPES |
| A51021 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A51021 (California) | Primary |
| 261QA0005X | Clinic/center - Ambulatory Family Planning Facility | A51021 (California) | Secondary |
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Emil Levin Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3131 Santa Anita Ave Ste 107, El Monte, CA 91733 Phone: 626-455-0999 Fax: 626-455-0900 | |
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