| Carolina Vazquez Md A Professional Corporation | |
|
6501 Eastern Ave Suite A Bell Gardens CA 90201-3003 | |
| (562) 761-9421 | |
| Not Available |
| Full Name | Carolina Vazquez Md A Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 6501 Eastern Ave, Bell Gardens, California |
| Authorized Official Name and Position | Carolina Vazquez (PRESIDENT) |
| Authorized Official Contact | 5627619421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Vazquez Md A Professional Corporation 6501 Eastern Ave Suite A Bell Gardens CA 90201-3003 Ph: (562) 761-9421 | Carolina Vazquez Md A Professional Corporation 6501 Eastern Ave Suite A Bell Gardens CA 90201-3003 Ph: (562) 761-9421 |
| NPI Number | 1780974410 |
|---|---|
| Provider Enumeration Date | 04/14/2011 |
| Last Update Date | 04/14/2011 |
| Medicare PECOS PAC ID | 1456521806 |
|---|---|
| Medicare Enrollment ID | O20110823000556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780974410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Carolina Vazquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841243151 PECOS PAC ID: 4183638315 Enrollment ID: I20060126000867 |
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