Cali Med Corporation | |
3314 Firestone Blvd South Gate CA 90280-2938 | |
(310) 407-9331 | |
Not Available |
Full Name | Cali Med Corporation |
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Speciality | Family Medicine |
Location | 3314 Firestone Blvd, South Gate, California |
Authorized Official Name and Position | Romeo V Herrera (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 3104079331 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cali Med Corporation 3314 Firestone Blvd South Gate CA 90280-2938 Ph: (310) 407-9331 | Cali Med Corporation 3314 Firestone Blvd South Gate CA 90280-2938 Ph: (310) 407-9331 |
NPI Number | 1801547088 |
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Provider Enumeration Date | 01/10/2022 |
Last Update Date | 01/10/2022 |
Medicare PECOS PAC ID | 7113301078 |
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Medicare Enrollment ID | O20220826002120 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801547088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Felix Aguilar |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295742138 PECOS PAC ID: 5698703734 Enrollment ID: I20050730000219 |
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