| Camino Nuevo Family Health Clinic | |
|
1800 Wilshire Blvd Los Angeles CA 90057-3602 | |
| (213) 484-9934 | |
| (213) 484-9939 |
| Full Name | Camino Nuevo Family Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1800 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Sonia C Sorto (COO) |
| Authorized Official Contact | 2134933976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Camino Nuevo Family Health Clinic 1800 Wilshire Blvd Los Angeles CA 90057-3602 Ph: (213) 484-9934 | Camino Nuevo Family Health Clinic 1800 Wilshire Blvd Los Angeles CA 90057-3602 Ph: (213) 484-9934 |
| NPI Number | 1881973444 |
|---|---|
| Provider Enumeration Date | 08/12/2011 |
| Last Update Date | 06/23/2023 |
| Medicare PECOS PAC ID | 6204274129 |
|---|---|
| Medicare Enrollment ID | O20240410002882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881973444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (California) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (California) | Secondary |
| Provider Name | Isaias D Paja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518997709 PECOS PAC ID: 9931173440 Enrollment ID: I20040820001000 |
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