| Buena Park Community Clinic - Bp | |
|
8332 Commonwealth Ave # B Buena Park CA 90621-2526 | |
| (714) 880-9010 | |
| (855) 204-8717 |
| Full Name | Buena Park Community Clinic - Bp |
|---|---|
| Speciality | Clinic/center |
| Location | 8332 Commonwealth Ave # B, Buena Park, California |
| Authorized Official Name and Position | Yelena Westberg (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 7148809010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buena Park Community Clinic - Bp 8332 Commonwealth Ave # B Buena Park CA 90621-2526 Ph: (714) 880-9010 | Buena Park Community Clinic - Bp 8332 Commonwealth Ave # B Buena Park CA 90621-2526 Ph: (714) 880-9010 |
| NPI Number | 1952650228 |
|---|---|
| Provider Enumeration Date | 09/02/2012 |
| Last Update Date | 09/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952650228 | NPI | - | NPPES |
| 10055 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 000 (California) | Primary |
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