| Bell Clinica Familiar Medical Corporation | |
|
4670 E. Gage Ave Bell CA 90201-1360 | |
| (323) 562-3135 | |
| (323) 562-1879 |
| Full Name | Bell Clinica Familiar Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 4670 E. Gage Ave, Bell, California |
| Authorized Official Name and Position | Jose M Lara (OWNER) |
| Authorized Official Contact | 3235623135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bell Clinica Familiar Medical Corporation 4670 E. Gage Ave Bell CA 90201-1360 Ph: (323) 562-3135 | Bell Clinica Familiar Medical Corporation 4670 E. Gage Ave Bell CA 90201-1360 Ph: (323) 562-3135 |
| NPI Number | 1457542995 |
|---|---|
| Provider Enumeration Date | 08/08/2007 |
| Last Update Date | 09/21/2016 |
| Medicare PECOS PAC ID | 9436144060 |
|---|---|
| Medicare Enrollment ID | O20040414001874 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457542995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A51277 (California) | Primary |
| Provider Name | Jose M Lara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801935622 PECOS PAC ID: 1052306685 Enrollment ID: I20040416000516 |
| Provider Name | Elsa Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952836025 PECOS PAC ID: 3375814932 Enrollment ID: I20170801001866 |
| Provider Name | Martha Cynthia Camacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528649076 PECOS PAC ID: 2365840493 Enrollment ID: I20211004003254 |
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