| Camilo S Jorge M.d. Prof Corp | |
|
16415 Colorado Ave Suite 102 Paramount CA 90723-5035 | |
| (562) 531-1946 | |
| (562) 531-1010 |
| Full Name | Camilo S Jorge M.d. Prof Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 16415 Colorado Ave, Paramount, California |
| Authorized Official Name and Position | Bernard S Jorge (PRESIDENT/OWNER) |
| Authorized Official Contact | 5625311946 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Camilo S Jorge M.d. Prof Corp 16415 Colorado Ave Suite 102 Paramount CA 90723-5035 Ph: (562) 531-1946 | Camilo S Jorge M.d. Prof Corp 16415 Colorado Ave Suite 102 Paramount CA 90723-5035 Ph: (562) 531-1946 |
| NPI Number | 1740511369 |
|---|---|
| Provider Enumeration Date | 01/21/2010 |
| Last Update Date | 08/04/2021 |
| Medicare PECOS PAC ID | 3173667623 |
|---|---|
| Medicare Enrollment ID | O20100222000259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740511369 | NPI | - | NPPES |
| 00A183931 | Medicaid | CA | |
| 1215028238 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A18393 (California) | Primary |
| Provider Name | Bernard S Jorge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417031998 PECOS PAC ID: 6901047109 Enrollment ID: I20130731000492 |
Family Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8540 Alondra Blvd, Suite B-2, Paramount, CA 90723 Phone: 562-602-2508 Fax: 562-602-2382 | |
Mercy Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16444 Paramount Blvd Ste 103, Paramount, CA 90723 Phone: 562-531-7790 | |
Centro Medico Santa Cruz Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8534 Rosecrans Ave., Paramount, CA 90723 Phone: 562-602-8877 Fax: 562-602-8844 | |
Sacred Heart Family Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8540 Alondra Blvd, Suite B2, Paramount, CA 90723 Phone: 562-602-2508 Fax: 562-602-2382 | |
Wilbert C Jordan Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16660 Paramount Blvd Ste 303, Paramount, CA 90723 Phone: 562-630-1415 Fax: 562-630-1473 | |
Wellcare La Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16415 S Colorado Avenue, Suite 208, Paramount, CA 90723 Phone: 562-531-0015 Fax: 562-531-4856 | |
Infotech Institute, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8527 Alondra Blvd, #174, Paramount, CA 90723 Phone: 562-804-1239 Fax: 562-866-7739 |