| Centro Medico Del Carmen | |
|
13373 Perris Blvd Suite C202a Moreno Valley CA 92553-5441 | |
| (951) 242-8155 | |
| (951) 242-8311 |
| Full Name | Centro Medico Del Carmen |
|---|---|
| Speciality | General Practice |
| Location | 13373 Perris Blvd, Moreno Valley, California |
| Authorized Official Name and Position | Ana Rosa Ascencio (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 2132198054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Medico Del Carmen 13373 Perris Blvd Suite C202a Moreno Valley CA 92553-5441 Ph: (951) 242-8155 | Centro Medico Del Carmen 13373 Perris Blvd Suite C202a Moreno Valley CA 92553-5441 Ph: (951) 242-8155 |
| NPI Number | 1821532508 |
|---|---|
| Provider Enumeration Date | 12/14/2016 |
| Last Update Date | 12/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821532508 | NPI | - | NPPES |
| W19646 | Other | CA | MEDICARE ID: |
| 00521930 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A52193 (California) | Primary |
Riverside University Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 Fax: 951-486-4435 | |
Antonio A. Tan, Md, Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12980 Frederick St, Suite D, Moreno Valley, CA 92553 Phone: 951-485-2744 Fax: 951-485-2749 | |
Dong S. Kim, M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11441 Heacock St, Ste. F, Moreno Valley, CA 92557 Phone: 951-243-8000 Fax: 951-243-9707 | |
Planned Parenthood Pacific Southwest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12900 Frederick St Ste C, Moreno Valley, CA 92553 Phone: 951-222-3101 | |
Joel A Pengson, Md, A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23180 Hemlock Ave, Moreno Valley, CA 92557 Phone: 951-243-6460 | |
John Liquete Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14114 Business Center Dr, Suite D, Moreno Valley, CA 92553 Phone: 951-697-1150 | |
Yogendra B Patel,md,inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12980 Frederick St, Suite J, Moreno Valley, CA 92553 Phone: 951-924-9300 Fax: 951-485-0240 |