| Centro Medico Santa Cruz Medical Center, Inc | |
|
8534 Rosecrans Ave. Paramount CA 90723 | |
| (562) 602-8877 | |
| (562) 602-8844 |
| Full Name | Centro Medico Santa Cruz Medical Center, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 8534 Rosecrans Ave., Paramount, California |
| Authorized Official Name and Position | Velma Estella Viscarra (PROVIDER ENROLLMENT) |
| Authorized Official Contact | 5624407901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Medico Santa Cruz Medical Center, Inc 8534 Rosecrans Ave. Paramount CA 90723 Ph: (562) 602-8877 | Centro Medico Santa Cruz Medical Center, Inc 8534 Rosecrans Ave. Paramount CA 90723 Ph: (562) 602-8877 |
| NPI Number | 1114062163 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 03/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114062163 | NPI | - | NPPES |
| A34431 | Other | CA | MEDICAL BOARD CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A34431 (California) | Primary |
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